11 results
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
in Longstanding COPD ... with longstanding COPD ... video #trachea #neck ... #physicalexam # ... pulmonary #respiratory
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
and Diagnosis Asthma ... family) of atopy is frequent ... curve, Low peak expiratory ... #comparison #Diagnosis ... #pulmonary
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
- Differential Diagnosis ... High-pitched, variable respiratory ... • Recurrent respiratory ... #causes #pulmonary ... #airway #physicalexam
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Indications: • COPD ... ), Cardiogenic pulmonary ... Other causes of respiratory ... #Ventilation #diagnosis ... #indications #pulmonary
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 ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Algorithm for Management of Acute Exacerbation of COPD (AECOPD)

Obtain workup for alternate diagnoses and relevant comorbidities:
for alternate diagnoses ... and culture if frequent ... 2 (or complete respiratory ... deficiency for newly diagnosed ... Exacerbation #treatment #pulmonary
Massive Hemoptysis - Diagnosis and Management
 • Definitions: 
   - Hemoptysis = bleeding from
Massive Hemoptysis - Diagnosis ... Pseudo-hemoptysis = upper respiratory ... Interventions - Cold ... Argon Plasma by Nick ... treatment #workup #pulmonary
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
punctuated by frequent ... bronchitis, and COPD ... Breathing #Patterns #Pulmonary ... Abnormalities #Abnormal #Diagnosis ... #PhysicalExam
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
obstruction • COPD ... wheezing, and inspiratory ... patients; more frequent ... parenchyma Diagnosis ... #differential #diagnosis
Empyema Necessitans (EN) on Chest Wall Physical Examination

Pulmonary teaching case: you are called to the bedside
Examination Pulmonary ... drain - What’s the diagnosis ... is required Nick ... Necessitans #EN #Chest #PhysicalExam ... #respiratory