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diagnosis differential algorithm hypoxemia comparison stridor abg abnormal abnormalities acid acidbase base bloodgas bluebloaters bronchiectasis disorders failure gas hyperpnea hypophosphatemia
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Stridor - Upper airway ... Epiglottitis • Vocal cord ... pneumothorax, COPD ... /asthma • Pleural ... 12 / shallow breathing
Acute Hypoxemia - Differential Diagnosis • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
pHTN, Advanced COPD ... pHTN, Shock • Airway ... Disease: Asthma ... , COPD, Bronchiectasis ... #Diagnosis #causes
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... perfusion Mismatch • Airway ... Disease (Asthma ... , COPD) • Vascular ... Diagnosis #Algorithm #Causes
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
20/min, shallow breathing ... Pulmonary Causes ... Tachypnea: • Asthma ... • COPD • Pneumonia ... Pneumothorax • Upper airway
Asthma vs COPD Presentation and Diagnosis Asthma: • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... between attacks COPD ... Subxiphoid PMI • COPD ... #COPD #comparison ... #Diagnosis #pulmonary
Abnormalities in Rate and Rhythm of Breathing Normal The respiratory rate is about 14—20 per min
consider infarction, hypoxia ... because narrowed airways ... asthma, chronic ... bronchitis, and COPD ... #Pulmonary #Abnormalities
Stridor - Differential Diagnosis Framework: High-pitched, variable respiratory sound ETIOLOGIES: Infectious: • Retropharyngeal abscess • Acute epiglottitis • Peritonsillar
Hemangiomas • Vocal cord ... Anaphylaxis • Vocal cord ... differential #diagnosis #causes ... #pulmonary #airway ... #physicalexam
COPD phenotypes: Blue Bloaters vs. Pink Puffers The two most stereotypical forms of COPD are pink
COPD phenotypes: ... stereotypical forms of COPD ... clearance and airway ... overlap syndrome of COPD ... #Diagnosis #COPD
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 Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Hypoxemic Respiratory ... direction leads to hypoxemia ... , asthma, COPD, ... pulmonary embolus ... #Failure #hypoxia
An Algorithm for the Diagnosis of Wheezing and Stridor Stridor: Louder, constant-pitch sound over central airways Wheezing: Musical
sound over central airways ... Bronchoconstriction: Asthma ... , COPD, Anaphylaxis ... Peribronchial pulmonary ... Stridor #Noisy #Breathing
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