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diagnosis clinical echocardiogram hypoxia pulmonary cardiology causes contrast hepatology hepatopulmonary hypoxemia pocus 1: 2 aa algorithm alveolar arterial atrium doubleshunt
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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 Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
of Hypoxemia- Differential ... Right to Left Shunt ... Defect ** • Atrial ... Hypoventilation Syndrome ... Hypoxemia #Hypoxia #Differential
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
Respiratory Failure - Differential ... obesity-hypoventilation syndrome ... hepatopulmonary syndrome ... shunting (eg, atrial ... Failure #hypoxia #Differential
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... 1) or anatomic shunt ... cycles after right atrial ... blood gas (ABC) ... hepatopulmonary #syndrome
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... Disease and more • Diffusion ... Gradient #alveolar #arterial ... Hypoxia #hypoxemia #differential
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... - Differential ... left to right shunt ... echocardiogram #s4c ... #pocus #bubble
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 Causes of Secondary Hypertension - Differential Diagnosis and Screening Testing Common causes: • Renal parenchymal disease
Hypertension - Differential ... disease - Renal ultrasound ... Duplex Doppler ultrasound ... selective renal intra-arterial ... • Cushing’s syndrome
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
Double Shunt on ... Early transit of bubbles ... hepatopulmonary syndrome ... as RAP>LAP as atrial ... clinical #pocus #a4c
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