489 results
Chronic Hypercapnic Respiratory Failure Phenotypes
Pink Puffers (robust vent drive) ↑ their WOB when pulmonary mechanics gradually
Chronic Hypercapnic ... rise) → chronic hypercapnia ... amzn.to/3rEtbK8 #Hypercapnic
Causes of Approach to Altered Level of Consciousness - Workup
Clinical Exam - Focal
 • Trauma
 •
Consciousness - Workup ... Refer to Blood Work ... • Hypoxia • Hypercapnea ... Altered #ALOC #Workup ... #diagnosis #workup
Metabolic Alkalosis - Urinary Chloride Algorithm
Cl- responsive metabolic alkalosis
 • Kidney loss of Cl-
Alkalosis - Urinary Chloride ... diuretics - Post-hypercapneic ... suction, Congenital chloride ... use The urine chloride ... Urine chloride is
Metabolic Alkalosis - Differential Diagnosis Algorithm - Urinary Chloride
 • Cl- responsive metabolic alkalosis
Algorithm - Urinary Chloride ... diuretics, Post-hypercapneic ... suction, Congenital chloride ... causes #urinary #chloride
Causes of Metabolic Alkalosis - Differential Diagnosis Algorithm
Urine chloride < 20 mmol/l - Chloride responsive (Chloride
Algorithm Urine chloride ... < 20 mmol/l - Chloride ... responsive (Chloride ... diuretic use Urine chloride ... > 20 mmol/l - Chloride
Causes of Metabolic Alkalosis: Differential Diagnosis
ECF volume contracted: urine chloride concentration <20 meq/L
 • Gastric alkalosis:
contracted: urine chloride ... nasogastric suction • Chloride-rich ... Status/ postchronic hypercapnia ... expanded: urine chloride ... contracted: but urine chloride
COPD phenotypes:  Blue Bloaters vs. Pink Puffers
The two most stereotypical forms of COPD are pink
persistently increased work ... life-threat is increased work ... increase in the work ... substantial chronic hypercarbia ... manifest with severe hypercapnia
Flapping tremors of Asterixis

DDx
- Decompensated cirrhosis or acute liver failure.
- Renal failure /azotemia.
- Respiratory failure with
dioxide toxicity (hypercapnia
Tachypnea - Evaluation and Differential Diagnosis Algorithm
Alkalemia:
 • Acute Respiratory Alkalosis
 • Chronic Hypercapnic Respiratory Failure
Alkalosis • Chronic Hypercapnic ... Superimposed • Acute Hypercapnic
An Approach to Acute Dyspnea

General Categories: Hypoxemia, Hypercapnia, Acidemia, Poor O2 Delivery (without hypoxemia),  Miscellaneous
Categories: Hypoxemia, Hypercapnia