23 results
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Stridor - Upper airway ... Epiglottitis • Vocal cord ... pneumothorax, COPD ... compliance (e.g., flail ... #differential #Diagnosis
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... Video via Dr. ... #physicalexam # ... respiratory #pulmonary ... breathing #Trachea #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 ... #clinical #video ... #pulmonary #respiratory
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
- Differential Diagnosis ... Hemangiomas • Vocal cord ... Anaphylaxis • Vocal cord ... #causes #pulmonary ... #airway #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 ... #clinical #video ... #pulmonary #COPD ... #respiratory
Stridor from Vocal Cord Paralysis on Physical Exam (Audio)

The video shows high-pitched noise (stridor) from vocal
Stridor from Vocal Cord ... stridor) from vocal cord ... dyspnea: is there an airway ... Stridor #Vocal #Cord ... #pulmonary
Wheezing - Differential Diagnosis Framework - Not all that wheezes is asthma
Vibrations of turbulent flow against
against narrowed airway ... Paradoxical vocal cord ... motion, Vocal cord ... bronchi: - Asthma/COPD ... #Framework #pulmonary
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 ... Hoovers #Sign #Pulmonary ... #COPD #PhysicalExam ... #Video #Clinical
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... of Dyspnea: • Airways ... - Asthma - COPD ... - Obesity - Flail ... #differential #diagnosis
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 # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary