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diagnosis differential syndrome echocardiogram hypoxia cardiology causes contrast hepatology hepatopulmonary management pocus respiratory 1: 2 aa acidosis acute algorithm alveolar
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
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
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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 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 ... 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 ... (Type 2) Clinical ... cycles after right atrial ... blood gas (ABC) ... scanning or pulmonary
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
week of a known clinical ... consistent with pulmonary ... explained by pleural effusions ... by the ratio of arterial ... severity of the hypoxemia
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 ... as RAP>LAP as atrial ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... left to right shunt ... Diagnosis #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
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 Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
of lactate as a clinical ... a multitude of clinical ... the appropriate clinical ... output - Acute pulmonary ... ’s • Reduced Arterial
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 ... Change in clinical ... days before Pulmonary ... CARP, DECREASE V trials
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