16 results
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
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
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
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
Diagnosis is generally ... e.g., CXR, CT, ultrasound ... chest pain) and signs ... (tachypnea, hypoxemia ... #Pulmonolary
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
Lung Infections in HIV - Differential Diagnosis Framework

Disease by CD4 Count:
Any CD4 Count:
 • Mycobacterium tuberculosis,
- Differential Diagnosis ... • CT: Halo sign ... , pleural effusion ... Infections #HIV #AIDS #pulmonary ... #differential #diagnosis
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
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
on Lung POCUS ... sliding: Pulmonary ... partially seen shred sign ... NOT definitively diagnose ... #ultrasound