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diagnosis differential pulmonary causes pfts comparison hepatology lfts loops asthma chronic cough decelerations elevated enzymes fetalheartrate fetalhr floppy functiontests hypotonic
Asthma vs COPD Presentation and Diagnosis Asthma: • Epidemiology: Age usually < 45, History (personal or family)
Exam: Usually normal ... spirometry - FEV1 ... often normal or ... : Persistently abnormal ... spirometry - FEV1
Patterns of pulmonary dysfunction revealed by flow-volume loops. For comparison, a normal loop is shown with
Patterns of pulmonary ... comparison, a normal ... Diagnosis #PFTs #Spirometry ... #FlowVolume #Loops ... #Normal #pulmonary
Flow Volume Loops - Common Patterns A. Normal B. Emphysema C. Unilateral Main Stem Bronchial Obstruction D. Fixed Upper Airway
Loops - Common Patterns ... Normal B. ... Diagnosis #PFTs #Spirometry ... #FlowVolume #Loops ... #Patterns #pulmonary
Pulmonary Function Tests (PFTs) - Interpretation Algorithm • Normal • Pulmonary Hypertension, Anemia, Carboxyhemoglobinemia • Chest
Pulmonary Function ... Interpretation Algorithm ... • Normal • ... Non-Emphysematous COPD ... Emphysematous COPD
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
Abnormal Liver Function ... Differential Diagnosis Algorithm ... Hepatocellular Pattern ... AST): • US - Normal ... LFTs #Elevated #Abnormal
Causes of Chronic Cough - Differential Diagnosis Algorithm Abnormal Chest X-Ray: • Chronic Infection (Eg. Fungal, Tuberculosis)
Differential Diagnosis Algorithm ... Abnormal Chest ... Obstructive Disease (FEV1 ... • Asthma • COPD ... Differential #Diagnosis #Algorithm
Intrapartum Abnormal Fetal HR Tracing - Causes of Variability & Decelerations - Differential Diagnosis Algorithm Minimal/Absent Variability
Intrapartum Abnormal ... Differential Diagnosis Algorithm ... hypoxia Sinusoidal Pattern ... decelerations: • Cord ... Differential #Diagnosis #Algorithm
Causes of Hypotonic Infant (Floppy Newborn) - Differential Diagnosis Algorithm Central Nervous System - Decreased LOC, Axial
Differential Diagnosis Algorithm ... Axial Weakness, Normal ... Strength, Normal ... Syndromes - Spinal Cord ... Neuromuscular Junction
Abnormal liver function tests algorithm. This figure details the initial response to abnormal liver blood tests.
Abnormal liver function ... initial response to abnormal ... evaluation of the pattern ... *Abnormal USS may ... #LFTs #Abnormal
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
» HEMODYNAMIC PATTERNS ... CI/BVI Blood Flow ... Perfusion Pressure COP ... physiologic) FVC FEV1 ... Capacity >3.0 L FEV1
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