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diagnosis echocardiogram hypoxia cardiology causes hepatology hepatopulmonary hypoxemia management pocus treatment 1: 2 aa acidosis acromegaly algorithm alveolar arterial atrium
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
of Hypoxemia- Differential ... Ventricular Septal Defect ... ** • Atrial Septal ... Defect Pulmonary ... Hypoventilation Syndrome
Hepatopulmonary Syndrome on Echocardiogram (A4C) Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Echocardiogram (A4C ... demonstrated by contrast ... visualized in the left atrium ... with intracardiac shunt ... #hepatology #clinical
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 Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... or anatomic shunt ... (Type 2) Clinical ... blood gas (ABC) ... scanning or pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Respiratory Failure - Differential ... defects) VENTILATION ... hepatopulmonary syndrome ... shunting (eg, atrial ... ventricular septal defects
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Atrium - Differential ... left to right shunt ... #Atrium #RA #Differential ... Diagnosis #cardiology #clinical ... #pocus #bubble
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 Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... Defect: Pulmonary ... Gradient #alveolar #arterial ... #hypoxemia #differential
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 ... hepatopulmonary syndrome ... as RAP>LAP as atrial ... Echocardiogram #clinical
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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 ... Differential diagnosis ... #mri #clinical
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... output - Acute pulmonary ... - Compartment syndrome ... ’s • Reduced Arterial ... Acidosis #Elevation #Differential
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook Clinical Presentation: • Classic Acromegaly: frontal
GrepMed Handbook Clinical ... before epiphyseal fusion ... Differential Diagnosis ... Beckwith Wiedemann syndrome ... Pituitary MRI+contrast
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