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clinical lung ultrasound pleural diagnosis sign differential management complex covid19 criticalcare echocardiogram respiratory empyema hemothorax loculated malignant plankton plax hypoxia
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Intracardiac, Pulmonary ... V/Q Mismatch: Pulmonary ... , Atelectasis, Pulmonary ... Disease and more • Diffusion ... Defect: Pulmonary
Oxygen-Hemoglobin Dissociation Curve Left Shift (↓ O2 unloading to tissue), Left = Lower: • ↓ H+ (↑
+ (↑ pH) • ↓ PCO2 ... tissue): • ↑ H+ (Acid ... ) • ↑ PCO2 • ... pathophysiology #pulmonary
Perform computations online at: ScyMed.com 6th ED ICU-card «ICU, Formulas & Drugs» HEMODYNAMIC PATTERNS Condition SAP CVP PAP PCWP CO C(a-v)02 PVR SVR Hypovolemic shock ↓ ↓ ↓ ↓ ↓ ↑ ↑ ↑ Cardiogenic shock ↓ 1 ↑ 1 1 ↑ Septic shock ↓ ↓ ↓ ↓ ↑ ↓ ↓ ↓ Cardiac Tamponade . ↑ ↑ 1 ↓ → ↑ RV
→ ↓ → →↑ Pulmonary ... +2PDP)/3 Mean Pulmonary ... DP-PCWP Coronary Perfusion ... MPAP-WP)*79.92)/CO Pulmonary ... = 1.36 cmH20 PULMONARY
Hydropneumothorax on Lung POCUS HIV/AID(CD4<250) with cough, dyspnea.Left lung anterior mid. Left lung. Findings consistent with PNA.
Hydropneumothorax on Lung POCUS ... HIV/AID(CD4< ... Has pleural effusion ... #bubbles #POCUS ... clinical #ultrasound #pulmonary
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 Shark Tail Appearance of Consolidated Lung on Pleural Effusion on POCUS Dr. David Feller-Kopman @dfellerk #Pleural #Effusion #pulmonary
Lung on Pleural Effusion ... on POCUS Dr. ... dfellerk #Pleural #Effusion ... #pulmonary #Lung ... #POCUS #clinical
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 #ICUCard RENAL GFR 90-131 mL/min ((140-age)*Wt)/(72*Cr) Glomerular Filtration Rate (Cockcroft) CI Cr 90-131 mL/min (CrU * volume)/CrS Creatinine Clearance FENa 0.0-1.0 % ((U/P Na)/(U/P Cr))*100 Fractional Excretion of Na+ Na req mEq (125-Na)*0.6*Wt Required Sodium FE Urea
Osmolar Gap ACID-BASE ... H_def 0 mEq Acid ... for each 10 - in pCO2 ... pk + log (HCO3/(PCO2 ... )/HCO3 Acid base
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
HYPOVENTILATION • Rising PaCO2 ... lung diseases, pulmonary ... asthma, COPD, pulmonary ... shunting (eg, pulmonary ... Differential #Diagnosis #pulmonary
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
Acid Base Disorders ... Metabolic: pH pCO2 ... - Rapid saline infusion ... Classically” noted with pulmonary ... ABG #bloodgas #Acid
Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... Care Ultrasound (POCUS ... Sign #Clinical #POCUS ... Lung #Pleural #Effusion ... #ultrasound #pulmonary
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 Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
indicative of pleural effusion ... absence of pleural effusion ... #SpineSign #POCUS ... Clinical #Pleural #Effusion ... #Pulmonary #Lung
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