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 ... Council; CAT: COPD ... FEV1FVC #mMRC #Classification
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 #Paralysis
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 Granuloma on Bronchoscopy

Young Male 30s non-smoker, chronic unexplained cough x 2 years. Failure to
Vocal Cord Granuloma ... pedunculate mass above vocal ... cord. ... ( rare case ): Vocal ... from GERD #Vocal
The pathogenesis of idiopathic pulmonary fibrosis. 1 – In an initiating phase, there is lung alveolar
neo-angiogenesis driven by local
Auto-PEEP 
What is Auto-PEEP?
 • Progressive air trapping & dynamic hyperinflation → ↑Palv at end expiration
An expiratory hold
Chattering on ECMO
What is chattering? If you look closely at this video clip, the tubing is
WHY the patient could
Endoscopic balloon dilation of subglottic stenosis
The video shows balloon dilation of a grade 3 subglottic stenosis,
scar under the vocal
Tracheomalacia on Bronchoscopy

A 54 year old female patient with repeated history of extubation failure. Diagnostic bronchoscopy
Bronchoscopy A 54 year old