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First-line therapies for Asthma, Asthma-COPD Overlap and COPD

The diagnosis of COPD, asthma, and ACO initially requires

Asthma, Asthma-COPD ... Overlap and COPD ... The diagnosis of COPD ... summary of the differential ... ACO = asthma-COPD

Key features on examination in COPD (Chronic obstructive pulmonary disease)

#Diagnosis #PhysicalExam #COPD #Manifestations #Features #Diagram

examination in COPD ... #Diagnosis #PhysicalExam ... #COPD #Manifestations

Pathogens in Pneumonia

Here is a quick review of the pathogens causing pneumonia (useful for enumerating differentials

H. influenzae (COPD ... Moraxella catarrhalis (COPD ... Pseudomonas — COPD ... Legionella spp (COPD ... Chlamydia pneumoniae (COPD

Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of

in Longstanding COPD ... with longstanding COPD ... Tracheal #Descent #COPD ... trachea #neck #physicalexam

Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of

associated with COPD ... COPD, and more specifically ... Sign #Pulmonary #COPD ... #PhysicalExam #

COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds

COPD Physical Exam ... SatyaPatelMD #COPD ... #PhysicalExam #

Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient

patient in severe COPD ... Hoovers #Sign #PhysicalExam ... video #pulmonary #COPD

Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in

Seen in this COPD ... clinical #video #physicalexam ... breathing #Trachea #COPD

Pseudogout: pathogenesis and clinical findings
- Idiopathic (vast majority of cases) -> Mechanism unknown
- Familial

pyrophosphate dihydrate (CPPD ... and/or x-ray - CPPD ... narrowing, and osteophytes ... Chondrocalcinosis #Pseudogout #CPPD

Acute Hypoxemia - Differential Diagnosis
• Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,

Acute Hypoxemia - Differential ... pHTN, Advanced COPD ... Disease: Asthma, COPD ... Hypoxemia #hypoxia #Differential

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