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diagnosis differential algorithm hypoxia interpretation comparison hypoxemia management testing abg abnormal abnormalities acid acidbase base bloodgas breathing bronchiectasis challenges criticalcare
Pulmonary Function Testing (PFT) Interpretation Algorithm Restrictive Lung Disease: • Chest wall or neuromuscular disorders • Interstitial
Pulmonary Function ... Disease: • Chest ... Emphysematous COPD ... Non-emphysematous COPD ... #COPD
Pulmonary Function Tests (PFTs) - Interpretation Algorithm • Normal • Pulmonary Hypertension, Anemia, Carboxyhemoglobinemia • Chest
Carboxyhemoglobinemia • Chest ... • Interstitial Lung ... Disease • Asthma ... Non-Emphysematous COPD ... Emphysematous COPD
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Epiglottitis • Vocal cord ... pneumothorax, COPD ... /asthma • Pleural ... atelectasis • Lung ... compliance (e.g., flail
Dyspnea - Differential Diagnosis Framework Cardiovascular Causes of Dyspnea: • Myocardium: - Heart failure - CAD/ACS - Valvulopathy • Electrical: -
• Airways: - Asthma ... - COPD - Bronchiectasis ... of Dyspnea: • Chest ... - Obesity - Flail ... chest • Neuromuscular
Asthma vs COPD Presentation and Diagnosis Asthma: • Epidemiology: Age usually < 45, History (personal or family)
Asthma vs COPD Presentation ... exacerbations • PFT ... between attacks COPD ... Subxiphoid PMI • COPD ... #COPD #comparison
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... Airway Disease (Asthma ... , COPD) • Vascular ... • Interstitial lung ... Abnormalities • Chest
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
: Interstitial lung ... ventilation (V) in the lungs ... : Pneumonia, asthma ... , COPD, pulmonary ... bypassing the lungs
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Pulmonary Pathology ... pleura in severe cases ... severity Acute Respiratory ... sliding COPD or ... Asthma: - Bilateral
Abnormalities in Rate and Rhythm of Breathing Normal The respiratory rate is about 14—20 per min
disease, pleuritic chest ... asthma, chronic ... bronchitis, and COPD ... Breathing #Patterns #Pulmonary ... Abnormal #Diagnosis #PhysicalExam
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic inflammation causes ... Loss of weight • Chest ... Most Common Causes ... obstruction • COPD ... Physical stigmata of cor
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