37 results
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... • Interstitial lung ... diseasePulmonary ... Defect ** • Atrial ... Hypoventilation Syndrome
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 ... Tachycardia #MAT #Cardiology
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... (HPS) HPS-differential ... Diseases of the ... lung parenchyma ... Alveolar-arterial
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Heart Failure - Differential ... Diffuse Lung Disease ... Respiratory Distress Syndrome ... Arterial Hypertension ... #HeartFailure #Cardiology
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
symptomatology Differential ... testing: anti-ANCA ab ... , anti-GBM ab, ANA ... Bronchoscopy with serial ... #differential #
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS ... Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... , Interstitial Lung ... #hypoxemia #differential
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Diagnosis- Compatible syndrome ... lymphoproliferative disease ... lesions • 80% with lung ... Lesions #Brain #differential ... diagnosis #causes #radiology
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
ARRYTHMIA • ATRIAL ... PARKINSON WHITE SYNDROME ... PHAEOCHROMOCYTOMA • PULMONARY ... Palpitations #Causes #Differential ... #Diagnosis #Cardiology
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Pleural Effusion - Differential ... Pneumonectomy • Trapped lung ... Malignancy • Pulmonary ... Gastrointestinal disease ... • Post-CABG
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 ... or restrictive lung ... disease (COPD,