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diagnosis pulmonary clinical differential hypoxia hypoxemia pocus aa causes gradient icucard management ultrasound abcde abcs ac acromioclavicular airbronchograms algorithm alveolaredema
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient Normal A-a Gradient: • ↓ Atmospheric pressure • Hypoventilation: CNS
Right-to-Left Shunt ... Cardiac, Vascular, Alveolar ... (↑Shunting), ↓Perfusion ... Dead space) • ↓Diffusion
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
first part of alveolar ... second part of alveolar ... across capillary-alveolar ... VIQ mismatch and shunt ... pulmonary embolus SHUNT
Acute Hypoxemia - Differential Diagnosis • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Pneumothorax, Alveolar ... Alkalosis • Shunt ... ARDS, Diffuse Alveolar ... AVMs • Focal Alveolar ... Hemorrhage • Impaired Diffusion
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
(assumes Room Air ... Age-Adjusted Gradient • Alveolar ... Right to Left Shunt ... Disease and more • Diffusion ... #AA #Gradient #alveolar
COVID-19 - How does it affect you? Gas Exchange Each sac of air, or alveolus, is
Each sac of air ... , or alveolus, is ... Two alveolar cells ... that lines the alveolus ... endosome or membrane fusion
Air Bronchograms on Ultrasound Opacification of alveolar spaces surrounding air-filled bronchioles; enables visualization of well-defined tissue/air interface;
Air Bronchograms ... Opacification of alveolar ... well-defined tissue/air ... interface; dynamic air ... including large effusions
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 Pericardial Clot on Echocardiogram ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
thrombolysed with SK ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... clinical #cardiology #a4c
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 Air Bronchograms on Ultrasound Opacification of alveolar spaces surrounding air-filled bronchioles; enables visualization of well-defined tissue/air interface;
Air Bronchograms ... Opacification of alveolar ... well-defined tissue/air ... interface; dynamic air ... including large effusions
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 Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
either due to a diffusion-perfusion ... 1) or anatomic shunt ... Arterial blood gas (ABC ... performed on room air ... older) on room air
Stage III - Alveolar edema This stage is characterized by continued fluid leakage into the interstitium, which
Stage III - Alveolar ... leakage in the alveoli ... (alveolar edema ... space (pleural effusion ... consolidations and air
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