O2 Saturation

Olivia reports progressive lower-extremity weakness and decreased exercise tolerance. Examination reveals a resting heart rate of 104 bpm, a fine hand tremor, brisk deep tendon reflexes, and mild proximal muscle weakness. She also reports recent unintentional weight loss despite ...  Show more

Jason is referred to physical therapy for gradually progressive bilateral hand pain and stiffness. The patient reports that the hands feel stiff for approximately 15 minutes after waking and becomes increasingly painful after prolonged gripping and household activities. Examinati ...  Show more

* Focused Physical Exam * Tachypnea and Hypoxemia * Able to speak in complete sentences * Accessory muscle use/retractions * Moving air or quiet on auscultation * Basic Treatment Algorithm * Albuterol Inhaler * Albuterol/Ipratropium Nebulized (Duoneb) * Steroids * IV Magnesium * ...  Show more

Educational Pearls:

Physiologic stimulation of ventilation occurs through changes in levels of:

Arte ...

Deep breathing and techniques 

Today’s case features a young man presenting with shortness of breath and exercise-induced oxygen desaturation. The discussion delves into some genetic causes of lung disease.