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diagnosis differential clinical echocardiogram hepatopulmonary hypoxia pulmonary syndrome aa algorithm alveolar arterial atrium cardiology causes contrast gradient management negative pocus
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... Right to Left Shunt ... ** • Atrial Septal ... Defect Pulmonary ... Right to Left Shunt
Hepatopulmonary Syndrome on Echocardiogram (A4C) Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Echocardiogram (A4C ... visualized in the left atrium ... with intracardiac shunt ... #bubble #shunting ... #hepatology #clinical
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 Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
or anatomic shunt ... upright position • Hypoxemia ... cycles after right atrial ... blood gas (ABC) ... management #treatment #hepatology
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Disease and more • Diffusion ... Defect: Pulmonary ... Gradient #alveolar #arterial ... #pulmonary #Hypoxia ... #hypoxemia #differential
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast Effect ... in Right Atrium ... left to right shunt ... echocardiogram #s4c ... #pocus #bubble
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