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diagnosis causes algorithm management nephrology cardiology clinical pulmonary table radiology hematology neurology dermatology ddxof workup pediatrics infections comparison endocrinology peds
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... ↓ CO, ↑ SVR, ↓ PCWP ... ↓ CO, ↑ SVR, ↑ PCWP ... ↓ CO, ↑ SVR, ↓ PCWP ... uw_IMresidency #Shock #Differential
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
#NormalValues #Differential ... Chambers #Wedge #PCWP
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Pulmonary Edema - Differential ... Catheterization: • PCWP ... #edema #NCPE #differential
Differentiating PAH from PVH - Echocardiography Pulmonary Artery Hypertension (PAH): • RV size - Enlarged • LA
Normal/Low • PCWP ... mmHg • PADP-PCWP ... Normal/High • PCWP ... mmHg • PADP-PCWP
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
RESISTANCE = (meanPAP-PCWP ... based on PVR & PCWP ... RAP/PCWP RATIO ... • A ↑ RA/PCWP correlates ... • RA/PCWP>0.54
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms Direct measurements ● Central venous pressure
wedge pressure (PCWP ... x [mean PAp – PCWP ... LVSWI = [MAP – PCWP
Pulmonary Artery Catheter Pressures Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2 HFrEF,
Mean PAP <25, PCWP
Right Heart Cath - Normal Cardiac Pressures Right Atrial Pressure (RAP) or Central Venous Pressure (CVP) •
Wedge Pressure (PCWP
Mechanical Cardiac Support Devices Compared Cannula Size - Insertion Technique - Haemodynarnic Support IABP: • Afterload: Reduced •
Slightly reduced • PCW ... pre-load: Reduced • PCW ... pre-load: Reduced • PCW ... Slightly reduced • PCW
#Diagnosis #InfectiousDiseases #PJP #PCP #Pneumocystis #Pneumonia #Testing #Tests #Sensitivity #Specificity
InfectiousDiseases #PJP #PCP
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