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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Tracheal Descent Sign

Paradoxical inward movement of the trachea during inspiration. Seen in this COPD patient in
Tracheal Descent ... Seen in this COPD ... Video via Dr. ... #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 ... #COPD #clinical ... #video #trachea ... #respiratory
Vocal Cord Paralysis on Bronchoscopy
Bronchogenic carcinoma sometimes presents dysphonia as the first symptom. This patient complained
Vocal Cord Paralysis ... Note the vocal cord ... doencasdotorax #Vocal #Cord ... laryngoscopy #clinical #video ... #pulmonary #dysfunction
Hoover’s Sign on Physical Exam

Paradoxical retraction of the lower intercostal spaces on inspiration in this patient
patient in severe COPD ... PhysicalExam #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 ... Hyperaldosteronism • Recent
Beevor's Sign on Physical Exam

Beevor's sign is abnormal upward (cephalad) movement of the umbilicus with truncal
muscle weakness or paralysis ... from spinal cord ... PhysicalExam #clinical #video
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