128 results
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
Tracheomalacia • Vascular ... Hemangiomas • Vocal cord ... Anaphylaxis • Vocal cord ... diagnosis #causes #pulmonary ... #airway #physicalexam
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
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In COPD, decreases ... exacerbation (cardiogenic pulmonary ... edema) • COPD ... patients (ie., CHF or COPD ... #indications #criticalcare
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
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
insufficiency, acute valvular ... vascular → RV failure ... from massive pulmonary ... embolism or severe pulmonary ... diagnosis #management #criticalcare
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
An Algorithm for the Diagnosis of Wheezing and Stridor

Stridor: Louder, constant-pitch sound over central airways
Wheezing: Musical
Compression: Malignancy, Vascular ... Mediastinal mass, Vascular ... Bronchoconstriction: Asthma, COPD ... Peribronchial pulmonary ... diagnosis #algorithm #pulmonary