31 results
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... • Interstitial lung ... disease • Pulmonary ... Septal Defect Pulmonary ... Hypoventilation Syndrome
Hyperacute Hypoxemia - Workup and Management
Differential Diagnosis: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Aspiration, Flash Pulmonary ... Bronchospasm, Pulmonary ... (JVP, edema), Lung ... POCUS (B-lines, lung ... diagnosis #Management #treatment
Lung Abscess
Microbiology:
 • Polymicrobial 
 • Anaerobes (most common) 
Clinical: 
 • Indolent symptoms that evolve
Lung Abscess Microbiology ... , hemoptysis Treatment ... meropenem) #Lung ... Abscess #Diagnosis #Pulmonary
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... disease (COPD) • Hypoxia ... • Pulmonary hypertension ... • Oxygen • Treatment
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... Embolism, Obstructive Lung ... , Interstitial Lung ... #Hypoxia #hypoxemia
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
obesity-hypoventilation syndrome ... : Interstitial lung ... direction leads to hypoxemia ... hepatopulmonary syndrome ... Respiratory #Failure #hypoxia
Hantavirus
Pathogen: Hantavirus - Rodents are the primary reservoir
Transmission:
 • Shed in the urine, feces, saliva of
Cardiopulmonary Syndrome ... • Autopsy PCR Treatment ... diagnosis #management #treatment ... #microbiology # ... infectiousdiseases
Nocardiosis - Nocardia spp
Pathogen: Filamentous gram-positive branching rod, grows in acid fast staining and anaerobic conditions
Clinical
involved) 32% • Pulmonary ... 9%, up to 20% lung ... diagnosis #management #microbiology ... #infectiousdiseases
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic cough • Hypoxia ... • Mounier-Kuhn syndrome ... in the adjacent lung ... of the affected lung ... mycobacteria Treatment
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... congestion with hypoxemia ... consistent with pulmonary ... RespiratoryDistress #Syndrome