10 results
Paradoxical Breathing on Physical Exam

Paradoxical breathing is often a sign of breathing problems. It causes the
It causes the chest ... DDx includes flail ... chest and diaphragm ... Paradoxical #Breathing #PhysicalExam ... video #pulmonary #peds
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
Pertinent Chest ... more places - Flail ... pneumothorax or air ... (loculated air) ... chestxray #trauma #diagnosis
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Crackles / ↓ Air ... pulmonary edema • Air ... MG, ALS) • ↓ chest ... compliance (e.g., flail ... #differential #Diagnosis
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
Ratios Barrel Chest ... LR 1.5 Pursed Lip ... Hyperresonance of chest ... SatyaPatelMD #COPD #PhysicalExam ... LikelihoodRatios #LRs #diagnosis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
(assumes Room Air ... Weakness, Loss of Chest ... Wall Elasticity (flail ... chest) • Low ... #differential #diagnosis
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Monitors, ECG, Pads ... SOB from CHF, Chest ... 2) Give Meds • ... Pads in AP position ... #bradycardia #diagnosis
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... disease: Pleuritic chest ... lat decubitus - air ... level seen • Chest ... pneumonectomy if fail
Ventral Suspension Position on Newborn Physical Exam 
The baby is placed in the prone position, suspended
suspended in the air ... placed under the chest ... the hand on the chest ... Position #Newborn #PhysicalExam ... clinical #video #peds
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
When the diagnosis ... Breathing and chest ... Newborn #Infant #PhysicalExam ... #Examination #Peds ... #Pediatrics #Diagnosis
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
disease, pleuritic chest ... resistance to air ... Abnormalities #Abnormal #Diagnosis ... #PhysicalExam