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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COPD assessment and classification as proposed by GOLD 2001, 2006, 2011 and 2017 Reports. For further
COPD assessment ... and classification ... as proposed by GOLD ... GOLD2017 #History #Comparison ... FEV1FVC #mMRC #Classification
Classic (2009) Spirometric GOLD Classification of COPD Severity Based on Postbronchodilator FEV
#Diagnosis #Pulmonary #COPD #GOLD #Staging
2009) Spirometric GOLD ... Classification ... of COPD Severity ... #GOLD #Staging ... #Severity #Classification
Hoover's Sign

Hoover’s sign refers to inward movement of the lower rib cage during inspiration- instead of
associated with COPD ... COPD, and more specifically ... Sign #Pulmonary #COPD
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
Forced vital capacity (FVC) curves comparing normal, obstructive, and restrictive disorders. Curves are as they appear
Restrictive #Normal #Comparison
Comparison of Pathologic Breathing Patterns
Biot's respiration aka ataxic respiration:
 - Periodic breathing: hyperpnea (or normopnea) and
Comparison of Pathologic ... pulmonary #diagnosis #comparison
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
An expiratory hold
The Wells, Geneva, and revised-Geneva pre-test possibility scores to risk-stratify patients with concern for PE

#Wells #Revised
#Probability #Comparison
Chattering on ECMO
What is chattering? If you look closely at this video clip, the tubing is
WHY the patient could
Vocal Cord Granuloma on Bronchoscopy

Young Male 30s non-smoker, chronic unexplained cough x 2 years. Failure to
Vocal Cord Granuloma ... mass above vocal cord ... case ): Vocal cord ... GERD #Vocal #Cord