36 results
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... Video via Dr. ... Descent #Sign #clinical ... #video #physicalexam ... #respiratory #pulmonary
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
in Longstanding COPD ... with longstanding COPD ... #clinical #video ... #physicalexam #pulmonary ... #respiratory
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
patient in severe COPD ... #PhysicalExam #clinical ... #video #pulmonary ... #COPD #respiratory
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In COPD, decreases ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... hair) • Risk Of Clinical ... intrathoracic damage (pneumothorax
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Associated Lung Ultrasound ... Findings Pneumothorax ... severity Acute Respiratory ... lung sliding COPD ... #differential #diagnosis
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
associated with COPD ... Hoovers #Sign #Pulmonary ... #COPD #PhysicalExam ... #Video #Clinical ... #Paradoxical #Respiratory
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
- Differential Diagnosis ... • Tachypnea: Respiratory ... • Hyperpnea: Respiratory ... • Asthma • COPD ... Pneumonia • CHF • Pneumothorax
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
for alternate diagnoses ... 2 (or complete respiratory ... deficiency for newly diagnosed ... of AECOPD: • Clinical ... Exacerbation #treatment #pulmonary
Shock Classification and Differential Diagnosis
SHOCK
 • MAP <65, SBP <90, drop in SBP > 40
 •
and Differential Diagnosis ... Insufficiency, Liver ... Medications, Spinal Cord ... , CVP > 12 • Pulmonary ... Embolism, Tension Pneumothorax
Flapping tremors of Asterixis

DDx
- Decompensated cirrhosis or acute liver failure.
- Renal failure /azotemia.
- Respiratory failure with
cirrhosis or acute liver ... - Respiratory ... #PhysicalExam #clinical ... #diagnosis #video