29 results
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
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 ... LR 11.8 Early inspiratory ... SatyaPatelMD #COPD ... LRs #diagnosis #pulmonary
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
associated with COPD ... Hoovers #Sign #Pulmonary ... #COPD #PhysicalExam ... Video #Clinical #Breathing ... #Paradoxical #Respiratory
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 ... #Failure #management
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... pneumonia • Water: pulmonary ... pneumothorax, COPD ... 12 / shallow breathing ... Algorithm #rapid #pulmonary
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
• Tachypnea: Respiratory ... 20/min, shallow breathing ... • Hyperpnea: Respiratory ... > 20/min, deep breathing ... • Asthma • COPD
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
Normal The respiratory ... , drug-induced respiratory ... , drug-induced respiratory ... bronchitis, and COPD ... #Pulmonary #Abnormalities
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 ... #criticalcare #management
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... 70%, Scooped out expiratory ... curve, Low peak expiratory ... chest, Pursed lip breathing ... comparison #Diagnosis #pulmonary
An Algorithm for the Diagnosis of Wheezing and Stridor

Stridor: Louder, constant-pitch sound over central airways
Wheezing: Musical
expiration Inspiratory ... Bronchoconstriction: Asthma, COPD ... Peribronchial pulmonary ... Stridor #Noisy #Breathing ... diagnosis #algorithm #pulmonary