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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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 ... #Sign #clinical ... #pulmonary #breathing
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Campbellโ€™s sign or Tracheal Descent in Longstanding COPD

Patients with longstanding COPD may show downward displacement of
Campbellโ€™s sign ... or Tracheal Descent ... #Campbells #sign ... #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
Hooverโ€™s Sign on ... Physical Exam Paradoxical ... rob_cosentini #Hoovers #Sign ... clinical #video #pulmonary ... #COPD #respiratory
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POCUS Findings in Acute Pulmonary Embolism
- McConnell's Sign
- TAPSE
- D-Shaped Septum
- Abnormal RV:LV Ratio

#Pulmonary #Embolism #AcutePE
Findings in Acute Pulmonary ... - McConnell's Sign ... RV:LV Ratio #Pulmonary ... #McConnells #Signs ... #DSign #Diagnosis
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Hoover's sign on Physical Exam
Paradoxical retraction of the lower intercostal spaces on inspiration
Pulmonary hyperinflation โ†’ flattening
Hoover's sign on ... Physical Exam Paradoxical ... on inspiration Pulmonary ... Jcortesizaguirr #Hoovers #sign ... #pulmonary
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CT Lung Signs in Pulmonary Diseases - One Page Summary of Pulmonary Signs
 - Air Crescent
Pulmonary Diseases ... Page Summary of Pulmonary ... Signs - Air Crescent ... #Pulmonary #Diseases ... #diagnosis #differential
Flail Chest on Physical Exam

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

Neville @docvlok

#Flail
, see seatbelt sign ... video #trauma #pulmonary ... #seatbelt #sign ... #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 ... Hyperaldosteronism โ€ข Recent ... alkalosis #algorithm #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 ... Guide #Symptoms #Signs
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Respiratory or Metabolic ... - Differential Diagnosis ... Classicallyโ€ noted with pulmonary ... lung disease (COPD ... Interpretation #Diagnosis