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diagnosis differential algorithm cardiology causes clinical contrast echocardiogram hypoxemia hypoxia pocus 1: 2 aa alveolar arterial atrium cyanosis doubleshunt gradient
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Arterial Hypertension ... Right to Left Shunt ... ** • Atrial Septal ... Defect Pulmonary ... Right to Left Shunt
Causes of Cyanosis in the Newborn - Differential Diagnosis Algorithm Peripheral Only: • Poor Perfusion • Acrocyanosis Hemoglobinopathy:
Only: • Poor Perfusion ... Left-to-Right Shunt ... Arteriosus • Atrial ... Total Anomalous Pulmonary ... Right-to-Left Shunt
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
or anatomic shunt ... cycles after right atrial ... blood gas (ABC) ... cirrhosis • Intra-pulmonary ... scanning or pulmonary
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Right to Left Shunt ... - Anatomic Shunt ... Disease and more • Diffusion ... Defect: Pulmonary ... Gradient #alveolar #arterial
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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 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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