20 results
Paradoxical Breathing on Physical Examination - Acute Respiratory Distress

Dr. Roberto Cosentini @rob_cosentini

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

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
severe respiratory distress ... Video via Dr. ... #respiratory #pulmonary ... #breathing #Trachea ... #COPD
Paradoxic Breathing in Pediatric Respiratory Distress - Improved after nebulizers and HFNC

Inward chest wall movement with
Paradoxic Breathing ... Pediatric Respiratory Distress ... HFNC Inward chest ... Peds #clinical #Video ... #Pulmonary #PhysicalExam
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
COPD Physical Exam ... Ratios Barrel Chest ... 1.5 Pursed Lip Breathing ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Causes of Pediatric Stridor - Differential Diagnosis Algorithm
Present Since Infancy with No Respiratory Distress:
 • Laryngomalacia
Present
- Differential Diagnosis ... No Respiratory Distress ... with Respiratory Distress ... Stenosis Non-Acute ... Peds #Pediatrics #Pulmonary
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
pneumonia • Water: pulmonary ... pneumothorax, COPD ... 12 / shallow breathing ... MG, ALS) • ↓ chest ... #differential #Diagnosis
Kussmaul Breathing in Lactic Acidosis
Acute non-cardiopulmonary dyspnoea. 70 ys, DM, vomiting and URQ abdominal pain since
Lactic Acidosis Acute ... discharged for acute ... tachypnoeic (see video ... originates in the chest ... #PhysicalExam #Pulmonary
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
- Differential Diagnosis ... Pulmonary/Chest ... Trauma, COPD exacerbation ... Chronic: Asthma, COPD ... Pleural effusion, Pulmonary
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
and Diagnosis Asthma ... Dyspnea, Wheeze, Chest ... Cyanosis, Barrel chest ... , Pursed lip breathing ... #pulmonary
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... Stable Angina • Acute ... • Asthma • COPD ... Thickening/Masses Chest ... #Differential #Diagnosis