79 results
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
associated with COPD ... downwards, thereby paradoxically ... Sign #Pulmonary #COPD ... PhysicalExam #Video #Clinical ... #Breathing #Paradoxical
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
Physical Exam Paradoxical ... patient in severe COPD ... #PhysicalExam #clinical ... video #pulmonary #COPD
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Descent Sign Paradoxical ... Seen in this COPD ... Descent #Sign #clinical ... breathing #Trachea #COPD
Wheezing - Differential Diagnosis Framework - Not all that wheezes is asthma
Vibrations of turbulent flow against
- Differential Diagnosis ... - Anaphylaxis, Paradoxical ... vocal cord motion ... bronchi: - Asthma/COPD ... #Differential #Diagnosis
Critical and Emergent Causes of Neuromuscular Weakness
CRITICAL DIAGNOSES 
 - Cerebral cortex or subcortical 
 -
Critical and Emergent ... DIAGNOSES - ... Brainstem - Spinal cord ... Muscle EMERGENT DIAGNOSES ... Brainstem - Spinal cord
An Algorithm for the Diagnosis of Wheezing and Stridor

Stridor: Louder, constant-pitch sound over central airways
Wheezing: Musical
Algorithm for the Diagnosis ... fold paralysis, Paradoxical ... Bronchoconstriction: Asthma, COPD ... #differential #diagnosis
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Exacerbation of COPD ... for alternate diagnoses ... deficiency for newly diagnosed ... COPD Assess ... of AECOPD: • Clinical
Daliresp (Roflumilast) 
Indication: Reduce risk of COPD exacerbations 
Drug Class: Selective Phosphodiesterase-4 (PDE4) Inhibitor 
GOLD 2019
Reduce risk of COPD ... Initiate if severe COPD ... won’t have any clinical ... #Indications #Pharmacology ... #COPD
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
- Differential Diagnosis ... • Asthma • COPD ... obstruction • Paradoxical ... #Differential #Diagnosis
Cold Agglutinin Disease

3 Types of Cold Sensitive Antibodies:
  1. Cold Agglutinins (CAD)
  2. Donath-Landsteiner
Viral Infection Clinical ... Diagnosis: • hemolytic ... Differential Diagnosis ... red-brown urine • Diagnostic ... anemia #hematology #diagnosis