Dr. Gerald Diaz @GeraldMD
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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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8 results
Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... Sign Paradoxical ... Seen in this COPD ... #Tracheal #Descent ... #respiratory #pulmonary
Campbell’s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
sign or Tracheal Descent ... in Longstanding COPD ... sign #Tracheal #Descent ... #COPD #clinical ... #physicalexam #pulmonary
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
Physical Exam Paradoxical ... 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 ... Hyperaldosteronism • Recent ... alkalosis #algorithm #diagnosis
CT Lung Signs in Pulmonary Diseases - One Page Summary of Pulmonary Signs
 - Air Crescent
Lung Signs in Pulmonary ... Page Summary of Pulmonary ... Signs - Air Crescent ... #Lung #Signs #Pulmonary ... #Diseases #diagnosis
Opportunistic Infections in HIV/AIDS
Here's a little symptom-based guide to OIs in pts with HIV I made
Hemoptysis - Pulmonary ... Tenesmus - Spinal Cord ... Opportunistic #Infections #Diagnosis
Hemoptysis - Differential Diagnosis Framework
Massive Hemoptysis: >150-300 mL in 24h
Airway disease: 
 • Bronchitis, Bronchiectasis, Malignancy
- Differential Diagnosis ... carcinoid, Mets), COPD ... #Differential #Diagnosis ... #pulmonary #causes
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
- Differential Diagnosis ... Classically” noted with pulmonary ... lung disease (COPD ... Interpretation #Diagnosis