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 ... Comparison #Staging #Severity ... 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
Asthma
Chronic lung disease characterized by airway inflammation, airway and variable expiratory air flow obstruction
There are 2
normal (LLN) Severity
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
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
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
Tracheomalacia on Bronchoscopy

A 54 year old female patient with repeated history of extubation failure. Diagnostic bronchoscopy
Bronchoscopy A 54 year old
Compressed Airway in Tracheomalacia on Laryngoscopy

Compressed airway - asphyxiation. One of the cause is from external
how asphyxiation could