Pulmonology Clinical Pearls Archive

A mnemonic device for use in cardiology care

A mnemonic device for use in cardiology care

Use the acronyms PASS and PAID to remember important murmurs

Help smokers quit on the 'DOT'

Help smokers quit on the 'DOT'

The Department of Transportation's new physical examination requirement helps employees quit smoking.

Make a permanent mark on your patient's asthma treatment

Make a permanent mark on your patient's asthma treatment


I have my patients bring all of their pumps to me and will write on the plastic canister with a Sharpie permanent marker.

Pump up the heart's volume

Pump up the heart's volume

Heart sounds can be difficult to hear in someone whose lungs are hyperinflated. Here's a tip to make it easier to detect.

What does a pleural rub sound like?

What does a pleural rub sound like?


A straightforward simile to help young clinicians learn what to listen for when auscultating a patient.

Blow away your pediatric patients

Blow away your pediatric patients


Tips for when you perform the respiratory portion of a pediatric examination.

Avoid vitamin A supplementation in smokers

Avoid vitamin A supplementation in smokers

Individuals who smoke or have ever smoked should avoid high-dose vitamin A supplementation due to a high correlation between smoking, vitamin A and lung cancer.

Ice down dyspnea

A nurse offers a surprising, yet effective solution for helping patients catch their breath.

Spray steroidal nasal spray toward the ears

Help patients avoid nose bleeds with this simple directive.

Improvised medication spacer

A nurse practitioner shares instructions for making an asthma medication spacer to use in emergency situations out of every day materials.

Breathing tips for patients with COPD

A nurse uses two easy-to-remember catch phrases to encourage pursed-lip breathing among patients with COPD.

Moving beyond "Just say no"

Moving beyond "Just say no"

Discourage teenagers from engaging in risky behaviors such as drug, tobacco and alcohol use in a meaningful way.

Nasal spray to reduce skin irritation

Clinician shares an unexpected dermatologic use for fluticasone.

Sneaky tonsil swab

Tip for guaranteeing a culture the first time you swab.

Slaying the gag reflex

A tip for performing rapid strep tests and throat cultures.

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