Dr. Gerald Diaz @GeraldMD
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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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5 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 ... #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
sign or Tracheal Descent ... in Longstanding COPD ... sign #Tracheal #Descent ... #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
Physical Exam Paradoxical ... patient in severe COPD ... clinical #video #pulmonary ... #COPD #respiratory
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Approach to Elevated Bicarbonate (HCO3)
Risk Factors for Hypercapnea? (Hx of COPD, OSA, sedative use, CNS/muscular disorders?)
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(Hx of COPD, OSA ... ) Evaluate for Respiratory ... Hyperaldosteronism โ€ข Recent ... alkalosis #algorithm #diagnosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Acid Base Disorders ... - Differential Diagnosis ... Classicallyโ€ noted with pulmonary ... lung disease (COPD ... ABG #bloodgas #Acid