21 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
Kernig's Sign in Meningitis

Kernig's sign is present if the patient, in the supine position with the
position with the hip ... Clinical #Video #PhysicalExam ... #Pediatrics #Peds ... #neurology
Nuchal Rigidity in Infantile Bacterial Meningitis

Flexion of the neck revealed nuchal rigidity. The patient was unable
to his anterior chest ... Rigidity #Meningitis #PhysicalExam ... Clinical #Video #Peds ... #Pediatrics #neurology
Nuchal Rigidity in Infantile Bacterial Meningitis

Flexion of the neck revealed nuchal rigidity. The patient was unable
to his anterior chest ... Rigidity #Meningitis #PhysicalExam ... Clinical #Video #Peds ... #Pediatrics #neurology
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
Acute Kidney Injury - Classification
Prerenal:
 • Dehydration
 • Heart failure (a.k.a. cardiorenal syndrome)
 • Liver failure
causes: sepsis, meds ... interstitial nephritis (AIN ... Classification #diagnosis ... #nephrology
Moro Reflex on Newborn Physical Exam

The Moro reflex is obtained by holding the baby’s head and
flexion on the chest ... #Moro #Reflex #Peds ... Clinical #Video #Neurology ... #Normal #PhysicalExam