12 results
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Blood: diffuse alveolar ... pneumothorax, COPD ... asthma • Pleural disease ... 12 / shallow breathing ... Hypoventilation: • CNS
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Interstitial lung diseases ... direction leads to hypoxemia ... Pneumonia, asthma, COPD ... hepatopulmonary syndrome ... #hypoxia #Differential
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS ... Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... #AA #Gradient #alveolar ... #Hypoxia #hypoxemia
Abnormalities in Rate and Rhythm of Breathing 
Normal 
The respiratory rate is about 14—20 per min
consider infarction, hypoxia ... include heart failure ... hyperventilation syndrome—a ... bronchitis, and COPD ... #Pulmonary #Abnormalities
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
can "recruit" alveoli ... neuromuscular disease ... exacerbation (cardiogenic pulmonary ... acute respiratory failure ... #criticalcare #management
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic cough • Hypoxia ... Connective tissue diseases ... obstruction • COPD ... • Mounier-Kuhn syndrome ... , in advanced disease
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... (DAH) & renal failure ... Inflammatory eye disease ... leading to diffuse alveolar ... differential #diagnosis #management
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver Failure ... , Severe Valve Disease ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... algorithm #treatment #management
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
D-lactate (short bowel syndrome ... Classically” noted with pulmonary ... acidosis: - CNS ... restrictive lung disease ... (COPD, OSA, Asthma
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
possibly from hypoxia ... cirrhosis, heart failure ... poisoning, heart failure ... seen in Reiter's syndrome ... Clinical #Signs #PhysicalExam