117 results
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
& Inspiratory Positive ... In COPD, decreases ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... patients (ie., CHF or COPD
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Seen in this COPD ... patient in severe respiratory ... clinical #video #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 ... trachea #neck #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 ... Hoovers #Sign #PhysicalExam ... clinical #video #pulmonary ... #COPD #respiratory
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
High-pitched, variable respiratory ... Hemangiomas • Vocal cord ... Anaphylaxis • Vocal cord ... diagnosis #causes #pulmonary ... #airway #physicalexam
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Non-Invasive Positive ... Indications: • COPD ... ), Cardiogenic pulmonary ... Other causes of respiratory ... #indications #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 ... #Paradoxical #Respiratory
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... LR 11.8 Early inspiratory ... SatyaPatelMD #COPD ... #PhysicalExam # ... LRs #diagnosis #pulmonary
Key features on examination in COPD (Chronic obstructive pulmonary disease)

#Diagnosis #PhysicalExam #COPD #Manifestations #Features #Diagram
examination in COPD ... Chronic obstructive pulmonary ... #Diagnosis #PhysicalExam ... #COPD #Manifestations
Acute Hypoxemia - Differential Diagnosis
 • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... pHTN, Advanced COPD ... Embolism, Emphysema, Positive ... Disease: Asthma, COPD