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differential algorithm acidbase bloodgas management patterns physicalexam abg abnormal abnormalities acid acidosis alkalosis asthma base biots bluebloaters bronchiectasis causes challenges
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Epiglottitis • Vocal cord ... pneumonia • Water: pulmonary ... pneumothorax, COPD ... 12 / shallow breathing ... #Diagnosis #Management
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 ... #comparison #Diagnosis ... #pulmonary
COPD Physical Exam Likelihood Ratios Barrel Chest - LR 1.5 Pursed Lip Breathing - LR 2.7 Reduced breath sounds
COPD Physical Exam ... 1.5 Pursed Lip Breathing ... SatyaPatelMD #COPD ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Comparison of Pathologic Breathing Patterns Biot's respiration aka ataxic respiration: - Periodic breathing: hyperpnea (or normopnea) and
Comparison of Pathologic ... Apnea - Sleep/Hypoxemia ... #Patterns #Respiratory ... #pulmonary #diagnosis ... #comparison #biots
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm Pulmonary Arterial Hypertension • Idiopathic • Associated with:
Causes of Pulmonary ... Algorithm Pulmonary ... Disease and/or Hypoxemia ... : • COPD • Interstitial ... Sleep-Disordered Breathing
COPD phenotypes: Blue Bloaters vs. Pink Puffers The two most stereotypical forms of COPD are pink
COPD phenotypes: ... stereotypical forms of COPD ... overlap syndrome of COPD ... #Diagnosis #COPD ... #BlueBloaters #Comparison
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 Acid Base and Blood Gas Analysis 1. pH - What’s the primary disturbance? 2. pCO2 - What’s the
Respiratory Acidosis ... obstruction • COPD ... alkalosis drive • Hypoxemia ... workup #algorithm #diagnosis ... #bloodgas #interpretation
Abnormalities in Rate and Rhythm of Breathing Normal The respiratory rate is about 14—20 per min
Normal The respiratory ... consider infarction, hypoxia ... bronchitis, and COPD ... #Pulmonary #Abnormalities ... #Abnormal #Diagnosis
Tachypnea - Differential Diagnosis Framework Definitions • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults •
- Differential Diagnosis ... • Tachypnea: Respiratory ... 20/min, shallow breathing ... > 20/min, deep breathing ... • Asthma • COPD
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
- Differential Diagnosis ... direction leads to hypoxemia ... Pneumonia, asthma, COPD ... #Failure #hypoxia ... #Differential #Diagnosis
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