44 results
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 ... #respiratory #pulmonary
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 ... Classically” noted with pulmonary ... bloodgas #Acid #Base
Blood Gas (ABG) Interpretation and Acid-Base Pathology
1- Does the patient have an acidosis or an alkalosis?
Interpretation and Acid-Base ... Look at the pCO2 ... Metabolic Equal (If pCO2 ... the change in pCO2 ... Amy Chung, MD, MSc
Papillary muscle rupture on POCUS Echocardiogram - A4C

Rare case! 70M recent MI with acute resp failure
muscle rupture on POCUS ... - A4C Rare case ... resp failure and pulmonary ... muscle rupture on POCUS ... muscle #rupture #POCUS
#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 ... pCO2 = 1.5 (HCO3 ... )/HCO3 Acid base ... 100% mask A-a ... < 50 mmHg Pa02
Oxygen Delivery Systems
Nasal Cannula:
 • Flow: 1 - 6 L/min
 • FiO2: 25 - 40% (-4%/L
of flow) Face Mask ... ~40% Venturi Mask ... 2 - 15 L/min (based ... devices #management #pulmonary
Pulmonary Artery Aneurysm on Echocardiogram

Aneurysm of RPA with thrombus appear as a huge mass compressing LA/mass
Pulmonary Artery ... A case of VSD Eisenmenger ... DrRajeshG1 #Pulmonary ... Echocardiogram #POCUS
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
Bilateral B-Lines in case ... Pneumonia on Lung POCUS ... POCUS lung exam ... /lung sliding: Pulmonary ... Lung POCUS shows
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
(EN) on Chest POCUS ... Pulmonary teaching ... case: you are called ... chest drain on POCUS ... #pulmonary #respiratory
Causes of Interstitial Lung Disease - Differential Diagnosis Algorithm
Idiopathic Interstitial Pneumonia
 • (UIP) Usual Interstitial Pneumonia
, worse at the bases ... Lymphangioleiomyomatosis (LAM), • Pulmonary ... leaking out of pulmonary ... Amy Chung, MD, MSc