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differential causes covid19 respiratory signs syndrome aa abg acid acidbase acidosis acute algorithm alveolar ards arterial base berlin bloodgas chestct
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... • Interstitial lung ... Malformation • Severe Pneumonia ... Abnormalities #Hypoxemia ... #Hypoxia #Differential
Acute Hypoxemia - Differential Diagnosis • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia ... Focal Alveolar: Pneumonia ... : ILD, pHTN, Advanced ... Sophia_Hayes_MD #Hypoxemia ... #hypoxia #Differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
- Differential Diagnosis ... direction leads to hypoxemia ... • Causes: Pneumonia ... Respiratory #Failure #hypoxia ... #Differential #Diagnosis
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Atelectasis, ARDS, Pneumonia ... Embolism, Obstructive Lung ... , Interstitial Lung ... #Hypoxia #hypoxemia ... #differential #diagnosis
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Ultrasound Findings ... pleura reflection) Pneumonia ... #differential #diagnosis ... #signs #Lung #POCUS ... #ultrasound #findings
Pneumonia on POCUS Otherwise healthy 12mo-old w/ fever. Linear & phased array viewing the lung (subpleural &
Pneumonia on POCUS ... Otherwise healthy 12mo-old ... >1cm, supports diagnosis ... no significant hypoxia ... #lung #ultrasound
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 COVID-19 Findings on Lung ultrasound - Thickened pleural line - B lines (multifocal, discrete, or confluent)
ultrasound - ... consolidation - Pleural effusion ... patients with pulmonary ... #ultrasound #POCUS ... #Diagnosis #Signs
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
explained by pleural effusions ... lobar collapse, lung ... severity of the hypoxemia ... the ARDS: - Mild ... Definition #Criteria #Diagnosis
CT and ultrasonographic features of COVID-19 pneumonia Lung CT: - Thickened pleura - Ground glass shadow and
features of COVID-19 pneumonia ... - Pulmonary infiltrating ... ultrasound - ... #ChestCT #Ultrasound ... #POCUS #features
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
usually: - hypoxemia ... patient with shock/hypoxemia ... hypoperfusion/ hypoxemia ... output - Acute pulmonary ... Oxygen Content: - Hypoxemia
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