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diagnosis differential causes management cardiology hematology phtn dyspnea gestationalage growthrestriction hepatopulmonary obstetrics sga small syndrome treatment bronchiectasis cancer cirrhosis classification
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
congenital heart disease ... arterial hypertension ... arterial hypertension ... disease; BPD, bronchopulmonary ... lung disease; LFT
Clinical Classification of Pulmonary Hypertension 1. Pulmonary arterial hypertension from pulmonary vasculopathy Idiopathic pulmonary arterial hypertension Heritable gene mutations
Pulmonary arterial ... arterial hypertension ... due to lung disease ... pulmonary disease ... , Gaucher disease
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm Pulmonary Arterial Hypertension • Idiopathic • Associated with:
Pulmonary Arterial ... Connective Tissue Disease ... Congenital Heart Disease ... Valvular Lung Disease ... Thromboembolic Disease
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Mismatch • Airway Disease ... • Parenchymal Disease ... Interstitial lung disease ... • Pulmonary Arterial ... Defect ** • Atrial
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial ... • Secondary to chronic ... lung disease (COPD ... • Hypoxia • Pulmonary ... hypertension
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... • Sub-Valvular Disease ... Coronary Artery Disease ... Arrhythmia • Atrial ... Hypertension Pulmonary
Right-Sided Heart Failure - Differential Diagnosis Algorithm Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Disease • ... Diffuse Lung Disease ... Arterial Hypertension ... Veno-Occlusive Disease
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Valvular heart disease ... Structural heart disease ... disease • Drugs ... valvular heart disease ... hypertrophy, pericardial disease
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Cardiomyopathy • Valvular disease ... Bronchitis • Chronic ... disease • Asthma ... Interstitial lung disease ... hypertension
Causes of Growth Restriction - Small for Gestational Age - Differential Diagnosis Algorithm Maternal • Chronic Maternal
Maternal • Chronic ... Maternal Hypertension ... • Gestational Hypertension ... • Autoimmune Disease ... Causes #Obstetrics #Pediatrics
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