18 results
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... neuromuscular disease ... MatthewHoMD #Hypoxemia ... #Hypoxia #Differential ... #pulmonary #Aa
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... diseasePulmonary ... Abnormalities #Hypoxemia ... #Hypoxia #Differential ... #Causes #Pulmonary
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Hypoxemia / Hypoxia ... asthma • Pleural disease ... atelectasis • Lung ... Sophia_Hayes_MD #Hypoxemia ... #Hypoxia #differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
: Interstitial lung ... diseases, pulmonary ... direction leads to hypoxemia ... bypassing the lungs ... Respiratory #Failure #hypoxia
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm
Pulmonary Arterial Hypertension
 • Idiopathic
 • Associated with:
Causes of Pulmonary ... Pulmonary Arterial ... • Valvular Lung ... Hypoxemia: • COPD ... #Causes
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Embolism, Obstructive Lung ... Disease and more ... , Interstitial Lung ... UnremarkableLab #AA ... #Hypoxia #hypoxemia
Nail Clubbing - Differential Diagnosis Algorithm
Bronchopulmonary Disease
 • Bronchiectasis
 • Chronic Lung Infection
 • Lung Cancer
Differential Diagnosis Algorithm ... Bronchiectasis • Chronic Lung ... Infection • Lung ... Fibrosis • Chronic Hypoxia ... #causes
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... Respiratory: • Pulmonary ... Embolism • Hypoxia ... • AFib/AFlutter ... #causes
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
due to lung disease ... and/or hypoxia ... lung disease Other ... pulmonary disease ... #Differential #Causes
Erythrocytosis - Polycythemia Differential Diagnosis Algorithm

Elevated Hemoglobin:
 • Males: Hb > 16.5 g/dL/HCT ≥ 49%
 •
Polycythemia - Acquired Causes ... : • Hypoxia-driven ... : Cardiac/pulmonary ... disease, Smoking ... altitude habitat • Hypoxia-independent