20 results
Acute Hypoxemia - Differential Diagnosis
 • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia ... Focal Alveolar: Pneumonia ... Embolism, Emphysema ... Sophia_Hayes_MD #Hypoxemia ... #hypoxia #Differential
A Non-Invasive approach to Respiratory Failure
 • COPD and Ventilatory Failure → NiPPV with Bi-level Settings
NiPPV with Bi-level ... Settings • CHF / Pulmonary ... NiPPV CPAP or Bi-level ... Settings • Pneumonia ... Failure #management #hypoxia
Venn Diagram - Does this patient have pneumonia?
Diagnosis is generally based on three lines of evidence:
this patient have pneumonia ... e.g., CXR, CT, ultrasound ... Inflammation (e.g., fever ... signs (tachypnea, hypoxemia ... #Pneumonia #Venn
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Room Air + Sea Level ... Intracardiac, Pulmonary ... Atelectasis, ARDS, Pneumonia ... V/Q Mismatch: Pulmonary ... #Hypoxia #hypoxemia
CGD and Mulch Pneumonitis
This acute fulminant invasive fungal pneumonia in absence of iatrogenic or exogenous immunosuppression
invasive fungal pneumonia ... Lawn mowing High level ... Acute dyspnea, hypoxia ... , fever, and evidence ... of pulmonary infiltrates
Empyema on Lung on Point of Care Ultrasound

Don't be fooled by empyema masquerading as liver! 

by
Empyema on Lung ... Point of Care Ultrasound ... masquerading as liver ... #Lung #pulmonary ... #clinical #ultrasound
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
760 mm Hg at sea level ... lung diseases, pulmonary ... direction leads to hypoxemia ... • Causes: Pneumonia ... Respiratory #Failure #hypoxia
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Community Acquired Pneumonia ... (LR + 2.7) • Hypoxia ... urea nitrogen level ... procalcitonin level ... Management #treatment #Pulmonary
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
B-Lines in case of Pneumonia ... healthy pt with fever ... /lung sliding: Pulmonary ... had Mycoplasma pneumonia ... POCUS #clinical #ultrasound
Air Bronchograms in Pneumonia on Lung Ultrasound

Pearl: When lung looks like liver, it's never a good
Bronchograms in Pneumonia ... on Lung Ultrasound ... #Bronchograms #Pneumonia ... #Lung #Ultrasound ... clinical #pocus #Pulmonary