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diagnosis differential hypoxia algorithm gradient 1: 2 alveolar arterial cardiology causes clinical contrast doubleshunt echocardiogram failure hepatology hepatopulmonary hypoxemic intrapulmonary
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... Arterial Hypertension ... Right to Left Shunt ... Defect ** • Atrial ... Right to Left Shunt
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient Normal A-a Gradient: • ↓ Atmospheric pressure • Hypoventilation: CNS
Hypoxemia Differential ... Right-to-Left Shunt ... (↑Shunting), ↓Perfusion ... Diagnosis #Algorithm #pulmonary ... #Aa #Gradient
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
VIQ mismatch and shunt ... lung diseases, pulmonary ... asthma, COPD, pulmonary ... embolus SHUNT ... shunting (eg, atrial
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Disease and more • Diffusion ... UnremarkableLab #AA ... Gradient #alveolar #arterial ... #pulmonary #Hypoxia ... #hypoxemia #differential
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
1) or anatomic shunt ... upright position • Hypoxemia ... blood gas (ABC) ... cirrhosis • Intra-pulmonary ... scanning or pulmonary
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
Double Shunt on ... liver disease and pulmonary ... Early transit of bubbles ... as RAP>LAP as atrial ... clinical #pocus #a4c
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