15 results
“H’s & T’s“ - The reversible causes of Cardiac Arrest 
Hypovolemia, Hypoxia/Hypoxemia, Hydrogen Ion Excess (Acidosis),
Hypovolemia, Hypoxia ... /Hypoxemia, Hydrogen ... Ion Excess (Acidosis ... #HsTs #acls #differential ... diagnosis #arrest #management
Acute Hypoxemia - Differential Diagnosis
 • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia ... Focal Alveolar: Pneumonia ... Impaired Diffusion: ILD ... Sophia_Hayes_MD #Hypoxemia ... #hypoxia #Differential
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Hypoxemia / Hypoxia ... hemorrhage • Pus: pneumonia ... atelectasis • Lung fibrosis ... Sophia_Hayes_MD #Hypoxemia ... #Hypoxia #differential
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... Malformation • Severe Pneumonia ... Hypoventilation Syndrome ... Abnormalities #Hypoxemia ... #Hypoxia #Differential
Interstitial Lung Diseases (ILD)
Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): 
 • Hypersensitivity pneumonitis, Farmer's lung, Bird
• Idiopathic pulmonary ... fibrosis (IPF), ... Churg Strauss syndrome ... #diagnosis #differential ... #pulmonary #causes
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Atelectasis, ARDS, Pneumonia ... Fibrosis, Interstitial ... #Hypoxia #hypoxemia ... #differential #
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Failure - Differential ... direction leads to hypoxemia ... • Causes: Pneumonia ... Respiratory #Failure #hypoxia ... #Differential #
Differential Diagnosis of Respiratory Acid-Base Disorders
Alkalosis
A. Central nervous system stimulation: Pain, Anxiety, psychosis, Fever, Cerebrovascular accident,
Differential Diagnosis ... Hypoxemia or tissue ... hypoxia: High altitude ... , Pneumonia, pulmonary ... respiratory distress syndrome
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Acute Coronary Syndrome ... Alveoli • Pneumonia ... Interstitium • ILD ... • Metabolic Acidosis
Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation: 
1. Acidemia or Alkalemia? 
2.
Differentials? ... D-lactate (short bowel syndrome ... , pain, fever, hypoxia ... Classically” noted with pulmonary ... with associated hypoxia