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differential clinical management treatment algorithm cardiology causes echocardiogram hypoxemia hypoxia pocus 1: aa acromegaly alveolar arterial atrium chondroma cyanosis doubleshunt
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
- Differential Diagnosis ... Ventricular Septal Defect ... ** • Atrial Septal ... Defect Pulmonary ... #Differential #Diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Management Summary A defect ... defect (Type 1) ... (Type 2) Clinical ... cycles after right atrial ... • Oxygenation defect
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right ... left to right shunt ... 2. ... #Effect #Right ... #pocus #bubble
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 Causes of Cyanosis in the Newborn - Differential Diagnosis Algorithm Peripheral Only: • Poor Perfusion • Acrocyanosis Hemoglobinopathy:
Ventricular Septal Defect ... Atrioventricular Septal Defect ... Arteriosus • Atrial ... Septal Defect ... Total Anomalous Pulmonary
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Right to Left Shunt ... Disease and more • Diffusion ... Defect: Pulmonary ... Gradient #alveolar #arterial ... #differential #diagnosis
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... Early transit of bubbles ... = PFO 2. ... as RAP>LAP as atrial ... clinical #pocus #a4c
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 Intraarticular Chondroma - MSK Radiology Imaging Findings: • Subtle soft-tissue infrapatellar mass seen obscuring Hoffa's fat pad.
Intraarticular Chondroma - MSK ... Usually NOT joint effusions ... • Post-contrast ... symptoms due to mass effect ... #msk
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
decade → peripheral/acral ... before epiphyseal fusion ... effects: Headache ... 2 adenoma mass effect ... Pituitary MRI+contrast
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
feature, PRS can affect ... palpable purpura 2/ ... 2 vasculitis, ulcers ... LVEF, pericardial effusion ... blood retum in serial
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... murmur 3/6) - Pulmonary ... days before Pulmonary ... management for select ... stratification #diagnosis
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