Dr. Priyanka Teckchandani @DrTeck
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GrepMed Pulmonary and Critical Care Editor - Academic Hospitalist UC Davis Medical Center Internal Medicine, Pulmonary and Critical Care Medicine Fellow UC Irvine ‘22
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Diagnostic algorithm for idiopathic pulmonary fibrosis, in part adapted from the ATS/ERS consensus statement. HRCT =
Diagnostic algorithm ... lung disease; IPF ... pneumonitis #IPF ... #UIP #Algorithm
Kussmaul Breathing Pattern

Demonstration of Kussmaul breathing pattern seen here in Diabetic Ketoacidosis.  Initial pH was
Initial pH was 6.95 ... and glucose was ... PhysicalExam #Clinical #Video
Pleuroscopy in a patient with Hemothorax 
Two weeks ago the patient fell on the left side
chest xray there was ... but luckily it was ... the chest tube was ... home the same day ... Hemothorax #clinical #video
Kussmaul Breathing in Lactic Acidosis
Acute non-cardiopulmonary dyspnoea. 70 ys, DM, vomiting and URQ abdominal pain since
abdominal pain since 3 days ... tachypnoeic (see video ... Respirations #Clinical #Video
Paradoxic Breathing in Pediatric Respiratory Distress - Improved after nebulizers and HFNC

Inward chest wall movement with
with expiration as ... Peds #clinical #Video
The pathogenesis of idiopathic pulmonary fibrosis. 1 – In an initiating phase, there is lung alveolar
membrane across which gas ... integrins, such as ... Once collagen has ... already distorted, gas ... #IPF #Pathophysiology
ETT depth may be predicted based on the patient’s height.  This has been validated among
This has been validated ... A height-based algorithm
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
instead of outward as ... #PhysicalExam #Video
Cheyne-Stokes Respirations - Also known as periodic respiration, Cheyne-Stokes (RCS) is a type of central sleep
Respirations - Also known as ... PhysicalExam #Clinical #Video
Vocal Cord Paralysis on Bronchoscopy
Bronchogenic carcinoma sometimes presents dysphonia as the first symptom. This patient complained
presents dysphonia as ... laryngoscopy #clinical #video