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Trauma - Paradoxical Breathing in Flail Chest
It occurs when multiple adjacent ribs are broken in

part of the chest wall ... Pattern #Trauma #Video ... #Clinical #PhysicalExam

Flail Chest on Physical Exam
Flail chest after 3 or more ribs are broken in 2 areas

motion of a chest wall ... #Flail #Chest #PhysicalExam ... respiratory #clinical #video

Physical Exam - Quincke’s Pulse

The tips of the patient’s index finger and thumb as well as

finger and thumb as well ... volume and rapid fall ... Quinckess #Pulse #PhysicalExam ... #Video #Fingernails

Paradoxic Breathing in Pediatric Respiratory Distress - Improved after nebulizers and HFNC

Inward chest wall movement with

Inward chest wall ... Peds #clinical #Video ... #Pulmonary #PhysicalExam

Paradoxical Breathing noted on Physical Exam after Chest Wall Resection (Sarcoma)

Dr. Supradip Ghosh @dr_supradip

#Paradoxical #Breathing #Flail

Exam after Chest Wall ... Pulmonary #clinical #video ... #PhysicalExam #

Flail Chest on Physical Exam
Flail chest occurs when 3 or more ribs are broken in at

motion of a chest wall ... Video by Dr. ... #Flail #Chest #PhysicalExam ... respiratory #clinical #video

Kussmaul's Sign on Physical Exam

Kussmaul sign is a paradoxical rise in jugular venous pressure (JVP) on

the appropriate fall ... Neck #Clinical #Video ... #PhysicalExam #

Paradoxical Respirations in Diaphragmatic Paralysis

Note the paradoxical movement of the abdomen during inspiration. The accessory inspiratory

anterior abdominal wall ... Diaphragm #Clinical #Video ... #PhysicalExam #

Jugular Venous vs Carotid Arterial Pulsations on Physical Exam

Jugular Venous Pulsations
• Well appreciated by inspection than

Venous Pulsations • Well ... Arterial Pulsations • Well ... Pulsations #Comparison #PhysicalExam ... #Clinical #Video

An intuitive way to use ultrasound to evaluate sick patients along the peri-shock to full shock

I call it, “Think ... #Diagnosis #POCUS ... Evaluation #Protocol #Algorithm

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