38 results
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Rapid Response Management ... Epiglottitis • Vocal cord ... pneumonia • Water: pulmonary ... MG, ALS) • ↓ chest ... #Diagnosis #Management
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... - Differential Diagnosis ... Disease (Asthma, COPD ... Abnormalities • Chest ... #Diagnosis #Algorithm
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
Non-Invasive approach to Respiratory ... Failure • COPD ... Settings • CHF / Pulmonary ... #Failure #management ... #hypoxia #NIV
COPD Physical Exam Likelihood Ratios
Barrel Chest - LR 1.5
Pursed Lip Breathing - LR 2.7
Reduced breath sounds
Ratios Barrel Chest ... LR 11.8 Early inspiratory ... #PhysicalExam # ... LikelihoodRatios #LRs #diagnosis ... #pulmonary
Stridor - Differential Diagnosis Framework:
High-pitched, variable respiratory sound

ETIOLOGIES:
Infectious:
 • Retropharyngeal abscess
 • Acute epiglottitis
 • Peritonsillar
- Differential Diagnosis ... High-pitched, variable respiratory ... Hemangiomas • Vocal cord ... #causes #pulmonary ... #airway #physicalexam
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
- Workup and Management ... Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... STAT CXR, CTA Chest ... #diagnosis #Management
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
lung disease (COPD ... ) • Hypoxia ... • Pulmonary hypertension ... Management ... MAT #Cardiology #Diagnosis
Asthma vs COPD Presentation and Diagnosis
Asthma:
 • Epidemiology: Age usually < 45, History (personal or family)
and Diagnosis Asthma ... Dyspnea, Wheeze, Chest ... Hyperresonance, Hypoxemia ... Cyanosis, Barrel chest ... #pulmonary
Flail Chest- Check out the paradoxical chest wall movement 
Typical management: opiates for analgesia, intubation due
Flail Chest- Check ... the paradoxical chest ... movement Typical management ... Video #Clinical #PhysicalExam ... #Pulmonary #Respiratory
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... Weakness, Loss of Chest ... Elasticity (flail chest ... #Hypoxia #hypoxemia ... #differential #diagnosis