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Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -

A-a gradient = PAO2 ... - PaO2 A-a gradient ... /0.8)] - PaO2 Simplified ... Weakness, Loss of Chest ... Elasticity (flail chest

PLACO Mnemonic - Approach to Acid-Base Disorders
P - Determine the pH
L - Labs: PCO2 & HCO3
A

Approach to Acid-Base ... pH L - Labs: PCO2 ... AcidBase #Acid #Base

Acid Base Disorders Worksheet

Step 1: Gather the necessary data (Na+, CI-, HCO3-, PH, pCO2). Preferably, all

Acid Base Disorders ... CI-, HCO3-, PH, pCO2 ... 3: Look at the pCO2 ... . 3a: If pCO2 ... joshsteinbergMD #Acid #Base

Platypnea-Orthodeoxia Syndrome on Physical Exam
The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia

Physical Exam The case ... there is a drop in SaO2 ... to 90% (and in paO2 ... #PhysicalExam #clinical

Acid-Base Disorders - Differential Diagnosis Algorithm
Acidemia (pH < 7.35)
• Metabolic Acidosis (HCO3 < 24mmol/L) CO2

Acid-Base Disorders ... Respiratory Acidosis (pCO2 ... Respiratory Alkalosis (pCO2

Acid Base Compensation - Directions - If all three variables (pH, HCO2, pCO2) move in the

Acid Base Compensation ... variables (pH, HCO2, pCO2

Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS)
- Respiratory symptoms must have begun within one

week of a known clinical ... be present on a chest ... inspired oxygen (PaO2 ... - 200 mm Hg < PaO2 ... - 100 mm Hg < PaO2

Acute Chest Pain: a basic differential diagnosis to consider, and key points

#Chestpain; #STEMI; #NSTEMI;

Image Source:

Acute Chest Pain ... Surgery: A case ... based clinical review

Coronary anatomy and relevant EKG changes during acute chest pain

#Chestpain;#STEMI;#NSTEMI;#EKG

Image Source: De Virgilio, C., Grigorian, A.,

changes during acute chest ... Surgery: A case ... based clinical review

Acid Base Disorders - Blood Gas Interpretation

Steps for Blood Gas Interpretation:
1. Acidemia or Alkalemia?
2.

Acid Base Disorders ... 7.35-7.45 • PaCO2 ... 35-45 mmHg • PaO2 ... Metabolic: pH pCO2 ... bloodgas #Acid #Base

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