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 ... as proposed by GOLD ... GOLD: Global Initiative ... Council; CAT: COPD ... Diagnosis #Pulmonary #COPD
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
Classic (2009) Spirometric GOLD Classification of COPD Severity Based on Postbronchodilator FEV
#Diagnosis #Pulmonary #COPD #GOLD #Staging
2009) Spirometric GOLD ... Classification of COPD ... Diagnosis #Pulmonary #COPD ... #GOLD #Staging
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
High-Res Chest CT Patterns - Differential Diagnosis Framework
Reticular:
 • Septal Thickening: Lymphangitic Carcinoma, Interstitial Edema, Alveolar
Hypersensitivity Pneumonia, COP ... Sarcoidosis, NSIP, COP
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
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
Tracheomalacia on Bronchoscopy

A 54 year old female patient with repeated history of extubation failure. Diagnostic bronchoscopy
Bronchoscopy A 54 year old
Mosaic Attenuation on Chest CT
 • Variable attenuation seen on a chest CT in a lobular
PJP, CEP, HP, COP