Dr. Gerald Diaz @GeraldMD
32.7M 13.9K 7.4K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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9 results
Flail Chest on Physical Exam

Anterior flail chest post MVA, see seatbelt sign as another clue

Neville @docvlok

#Flail
Flail Chest on Physical ... Exam Anterior flail ... Neville @docvlok #Flail ... video #trauma #pulmonary ... seatbelt #sign #respiratory
Flail Chest on Physical Exam
Flail chest after 3 or more ribs are broken in 2 areas
Flail Chest on Physical ... Exam Flail chest ... FedeRebustello #Flail ... PhysicalExam #Breathing #respiratory ... clinical #video #Pulmonary
Trauma - Paradoxical Breathing in Flail Chest 
It occurs when multiple adjacent ribs are broken in
Paradoxical Breathing in Flail ... EkremMusalar #Flail ... #PhysicalExam #Pulmonary ... #Respiratory
Paradoxical Breathing noted on Physical Exam after Chest Wall Resection (Sarcoma)

Dr. Supradip Ghosh @dr_supradip

#Paradoxical #Breathing #Flail
Paradoxical #Breathing #Flail ... #Chest #Respiratory ... #Pulmonary #clinical
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
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 ... #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 ... clinical #video #pulmonary ... #COPD #respiratory
Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
(+)
(Hx of COPD, OSA ... ) Evaluate for Respiratory ... metabolic #alkalosis #algorithm
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Respiratory or Metabolic ... Alkalemia Step 2 - Respiratory ... compensation • Respiratory ... Classically” noted with pulmonary ... lung disease (COPD