Dr. Gerald Diaz @GeraldMD
32.8M 13.9K 7.4K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief ๐Ÿ‡ต๐Ÿ‡ญ ๐Ÿ‡บ๐Ÿ‡ธ - 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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8 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
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Campbellโ€™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
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Hooverโ€™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
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Paradoxic Breathing in Pediatric Respiratory Distress - Improved after nebulizers and HFNC

Inward chest wall movement with
Breathing in Pediatric Respiratory ... Paradoxic #Breathing #Respiratory ... clinical #Video #Pulmonary ... #PhysicalExam #Pattern
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Trauma - Paradoxical Breathing in Flail Chest 
It occurs when multiple adjacent ribs are broken in
Chest #Breathing #Pattern ... #PhysicalExam #Pulmonary ... #Respiratory
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Cheyne-Stokes Respirations - Also known as periodic respiration, Cheyne-Stokes (RCS) is a type of central sleep
Respiration #Breathing #Pattern ... Clinical #Video #Pulmonary ... #Respiratory
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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 โ€ข Respiratory ... Classicallyโ€ noted with pulmonary ... lung disease (COPD