15 results
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... Diagnosis Algorithm ... MatthewHoMD #Hypoxemia ... #Hypoxia #Differential ... #pulmonary #Aa
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... • Interstitial lung ... Hypoventilation Syndrome ... Abnormalities #Hypoxemia ... #Hypoxia #Differential
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... Left Shunt - Anatomic ... UnremarkableLab #AA ... #Hypoxia #hypoxemia ... #differential #
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Hypoxemic Respiratory ... Failure - Differential ... direction leads to hypoxemia ... hepatopulmonary syndrome ... #hypoxia #Differential
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... , defecation) Respiratory ... : • Pulmonary ... Embolism • Hypoxia
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) 
- Respiratory symptoms must have begun within one
Distress Syndrome ... consistent with pulmonary ... lobar collapse, lung ... collapse, or pulmonary ... severity of the hypoxemia
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Acute Respiratory ... Distress Syndrome ... leading to increased pulmonary ... congestion with hypoxemia ... <300mmHg with a
Differential Diagnosis of Respiratory Acid-Base Disorders
Alkalosis
A. Central nervous system stimulation: Pain, Anxiety, psychosis, Fever, Cerebrovascular accident,
Differential Diagnosis ... Disorders Alkalosis A. ... Hypoxemia or tissue ... hypoxia: High altitude ... distress syndrome
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic cough • Hypoxia ... polycythemia from chronic hypoxia ... Immunoglobulins (Ig M, A, ... mycobacteria Treatment ... #differential #
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
D-lactate (short bowel syndrome ... M Methanol A ... , pain, fever, hypoxia ... with associated hypoxia ... or restrictive lung