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Acute Mountain Sickness Low partial pressure of oxygen at high altitude • Stop ascent • Supportive
altitude • Stop ascent ... hyperbaric chamber • Descent ... Signs #Diagnosis #Management
High Altitude Cerebral Edema (HACE) Clinical • Encephalopathy • Ataxic gait • Severe lassitude
consciousness Management ... intervention • Descent ... Edema #Diagnosis #Management
High Altitude Cerebral Edema (HACE) Severe AMS with altered mental status, ataxia, and other neurological manifestations such
comatose THERAPY: 1) Descent ... L/hour 4) If descent ... HACE #diagnosis #management
HIGH ALTITUDE PULMONARY EDEMA (HAPE) • High altitude disease that kill most people • Incidence: severe
THERAPY 1) Rapid Descent ... hyperbaric chamber if descent ... recurrence 1) Slower ascent ... HAPE #diagnosis #management
Jugular Waveform Components • a wave - due to atrial contraction: It occurs just before
• x descent - ... • x descent - ... overcomes the descent ... • y descent - ... Thus the y descent
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
tachycardia - Absent x descent ... - Prominent x descent ... percarditis - Slow y descent ... myxoma - Rapid y descent ... defect - Absent y descent
RA/CVP Waveform Interpretation Central venous pressure (CVP) or right atrial pressure (RAP) waveform tracings can often times
waves and two descents ... blunting of ‘x’ descent ... with TR - ‘x’ descent ... - ‘y’ descent
Abnormal Jugular Venous Pressure (JVP) Algorithm Outward Wave / Peak • With Every Beat
Concordant with S1 - X-Descent ... Discordant with S1 - Y-Descent
Campbell’s sign or Tracheal Descent in Longstanding COPD Patients with longstanding COPD may show downward displacement of
sign or Tracheal Descent ... sign #Tracheal #Descent
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 Differential Diagnosis of Pericardial Effusion Trauma Pericarditis Recent MI Autoimmune Neoplastic Endocrine/Metabolic Venous Congestion Medications - Dr. Tom Fadial https://twitter.com/thame #Pericardial
Pericarditis Recent ... Differential #Diagnosis #Management
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