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diagnosis clinical differential management physicalexam lung algorithm pocus video breathing criticalcare asthma causes sign treatment stridor comparison failure hoovers hypoxia
Asthma vs COPD Presentation and Diagnosis Asthma: • Epidemiology: Age usually < 45, History (personal or family)
Variably abnormal spirometry ... curve, Low peak expiratory ... bronchodilator, Spirometry ... Persistently abnormal spirometry ... comparison #Diagnosis #pulmonary
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 ... of exposure to respiratory ... and pattern of respiratory ... symptoms, and spirometry
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 ... #physicalexam #respiratory ... #pulmonary #breathing ... #Trachea #COPD
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 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 ... #physicalexam #pulmonary ... #respiratory
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 Stridor - Differential Diagnosis Framework: High-pitched, variable respiratory sound ETIOLOGIES: Infectious: • Retropharyngeal abscess • Acute epiglottitis • Peritonsillar
High-pitched, variable respiratory ... Hemangiomas • Vocal cord ... • Recurrent respiratory ... Anaphylaxis • Vocal cord ... diagnosis #causes #pulmonary
A Non-Invasive approach to Respiratory Failure • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Non-Invasive approach to Respiratory ... Failure • COPD ... Settings • CHF / Pulmonary ... #NonInvasive #Respiratory
Hoover’s Sign on Physical Exam Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
patient in severe COPD ... clinical #video #pulmonary ... #COPD #respiratory
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 Noninvasive Positive Pressure Ventilation (NIPPV) Expiratory & Inspiratory Positive Airway Pressure Both increase intrathoracic pressure, which can decrease
and decreases respiratory ... In COPD, decreases ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... patients (ie., CHF or COPD
Chronic Hypercapnic Respiratory Failure Phenotypes Pink Puffers (robust vent drive) ↑ their WOB when pulmonary mechanics gradually
Chronic Hypercapnic Respiratory ... their WOB when pulmonary ... caloric cost) → pulmonary ... #Hypercapnic #Respiratory ... Failure #Phenotypes #COPD
GOLD2017 - The refined ABCD assessment tool. FEV1: forced expiratory volume in 1 s; FVC: forced vital
FEV1: forced expiratory ... Council; CAT: COPD ... #Diagnosis #Pulmonary ... #COPD #GOLD2017
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