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diagnosis differential algorithm interpretation acidbase comparison hypoxemia management testing abg abnormal abnormalities acid acidosis alkalosis base bloodgas breathing bronchiectasis challenges
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
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
Pulmonary Function Tests (PFTs) - Interpretation Algorithm • Normal • Pulmonary Hypertension, Anemia, Carboxyhemoglobinemia • Chest
Carboxyhemoglobinemia • Chest ... • Interstitial Lung ... Disease • Asthma ... Non-Emphysematous COPD ... Emphysematous COPD
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
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
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
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
: Interstitial lung ... direction leads to hypoxemia ... , asthma, COPD, ... bypassing the lungs ... #Failure #hypoxia
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
Hypophosphatemia and Hypoxia - Pathophysiology ↓ Phosphate leads to ↓ red cell 2,3-DPG and a reduction
in pts with ↓ Phosphate ... Phosphate is a cause ... phosphorus is seen in COPD ... patients with COPD ... #pulmonary
Abnormalities in Rate and Rhythm of Breathing Normal The respiratory rate is about 14—20 per min
disease, pleuritic chest ... consider infarction, hypoxia ... asthma, chronic ... bronchitis, and COPD ... Breathing #Patterns #Pulmonary
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