21 results
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... • Interstitial lung ... diseasePulmonary ... Abnormalities #Hypoxemia ... #Hypoxia #Differential
Hypoxemia / Hypoxia - Rapid Response Management Algorithm

Stridor - Upper airway pathology:
 • Anaphylaxis
 • Foreign
Hypoxemia / Hypoxia ... atelectasis • Lung ... Sophia_Hayes_MD #Hypoxemia ... #Hypoxia #differential ... #Diagnosis #Management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... diseases, pulmonary ... direction leads to hypoxemia ... hepatopulmonary syndrome ... Respiratory #Failure #hypoxia
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... , Interstitial Lung ... #Hypoxia #hypoxemia ... #differential #diagnosis
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... disease (COPD) ... • HypoxiaPulmonary ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
due to lung disease ... and/or hypoxia ... lung disease Other ... and obstructive pattern ... Classification #Diagnosis
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... congestion with hypoxemia ... consistent with pulmonary ... Summary #CheatSheet #Diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... absence of intrinsic lung ... upright position • Hypoxemia ... Quantifies degree of hypoxemia ... #diagnosis #management
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic cough • Hypoxia ... • Mounier-Kuhn syndrome ... polycythemia from chronic hypoxia ... in the adjacent lung ... of the affected lung
Ventilator Troubleshooting Summary
High PIP, nl Pplat:
 - DDx: Tubing problem, Bronchospasm, Secretions
 - Next Steps: Check
DDx: Obstructive lung ... disease, Insufficient ... Bronchodilators/Steroids Hypoxemia ... Troubleshooting #diagnosis ... #management #pulmonary