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diagnosis differential hypoxia clinical echocardiogram hepatology syndrome 1: 2 aa algorithm alveolar arterial cardiology causes contrast doubleshunt failure gradient hypoxemic
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
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 ... Echocardiogram #A4C ... #bubble #shunting
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 Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
VIQ mismatch and shunt ... lung diseases, pulmonary ... embolus SHUNT ... AVMs, hepatopulmonary ... shunting (eg, atrial
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
AVMs, Hepatopulmonary ... 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
Hepatopulmonary ... 1) or anatomic shunt ... upright position • Hypoxemia ... blood gas (ABC) ... scanning or pulmonary
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 ... #2 c/w hepatopulmonary ... as RAP>LAP as atrial ... clinical #pocus #a4c
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