29 results
Paradoxical Breathing on Physical Examination - Acute Respiratory Distress

Dr. Roberto Cosentini @rob_cosentini

#Paradoxical #Breathing #Respiratory #Distress #clinical
Examination - Acute ... Respiratory Distress ... #Respiratory #Distress ... clinical #video #physicalexam ... #Pulmonary
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
distress. ... clinical #video #physicalexam ... #respiratory #pulmonary ... #breathing #Trachea ... #COPD
Causes of Pediatric Stridor - Differential Diagnosis Algorithm
Present Since Infancy with No Respiratory Distress:
 • Laryngomalacia
Present
- Differential Diagnosis ... Algorithm Present ... Infancy with No Respiratory ... Stenosis Non-Acute ... Peds #Pediatrics #Pulmonary
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
- Differential Diagnosis ... Retropharyngeal abscess • Acute ... Ludwig's angina Trauma ... #causes #pulmonary ... #airway #physicalexam
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
hyperexpansion of the lungs ... Hoovers #Sign #Pulmonary ... #COPD #PhysicalExam ... Video #Clinical #Breathing ... #Paradoxical #Respiratory
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm
Pulmonary Arterial Hypertension
 • Idiopathic
 • Associated with:
Causes of Pulmonary ... - Differential Diagnosis ... Algorithm Pulmonary ... Hypoxemia: • COPD ... Sleep-Disordered Breathing
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... 1.5 Pursed Lip Breathing ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... exacerbation (cardiogenic pulmonary ... exacerbation (often w/ acute ... ) • Other acute ... deformity (facial trauma
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... of Acute Exacerbation ... ventilated • CXR, Lung ... 2 (or complete respiratory ... Exacerbation #treatment #pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... the severity Acute ... Respiratory Distress ... sliding COPD or ... #differential #diagnosis