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diagnosis clinical table ultrasound differential echocardiogram lung cardiology pulmonary management a4c nms nephrology covid19 criticalcare msk radiology syndromes algorithm cardiomyopathy
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 ... Hypoventilation Syndrome ... Hepatopulmonary Syndrome
Hepatopulmonary Syndrome HPS - Diagnosis: 1. Patients with liver disease 2. Alveolar-arterial oxygen gradient (AaP02) >15 mmHg
Hepatopulmonary Syndrome ... Moderate HPS: ≥ 60 PaO2 ... Severe HPS: ≥ 50 PaO2 ... Very severe HPS: PaO2 ... Hepatopulmonary #Syndrome
ABG vs VBG: Arterial vs Venous Blood Gases ABG PROS: Tells you exactly what the arterial environment looks
looks like (pH, PaCO2 ... #Correlation #Comparison ... #pH #pCO2 #Diagnosis
Hypoxemia vs Hypoxia Hypoxemia - Partial pressure of arterial oxygen (PaO2) is below normal Hypoxia - Insufficient oxygen
arterial oxygen (PaO2 ... compensate for low PaO2 ... differential #diagnosis #comparison
Hyperthermia Syndromes Comparison Serotonin Syndrome - NMS - Malignant Hyperthermia - Malignant Catatonia Cause - Onset - Vitals
Hyperthermia Syndromes ... Comparison Serotonin ... Syndrome - NMS ... #Hyperthermia #Syndromes ... #Comparison #diagnosis
Platypnea-Orthodeoxia Syndrome on Physical Exam The case of a patient with a diagnosis of cirrhosis and platypnea-orthodeoxia
Platypnea-Orthodeoxia Syndrome ... platypnea-orthodeoxia syndrome ... there is a drop in SaO2 ... to 90% (and in paO2 ... #Orthodeoxia #Syndrome
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 Hyperthermic Syndromes - This table summarizes the similarities and differences between some toxicologic causes of hyperthermic
Hyperthermic Syndromes ... of hyperthermic syndromes ... • Serotonin syndrome ... #Hyperthermic #Syndromes ... #Comparison #Table
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
Respiratory Distress Syndrome ... inspired oxygen (PaO2 ... - 200 mm Hg < PaO2 ... - 100 mm Hg < PaO2 ... Respiratory #Distress #Syndrome
Nephritic vs Nephrotic Syndrome Step 1: If the patient has hematuria and/or proteinuria, think about nephrotic/nephritic syndromes. Step
Nephritic vs Nephrotic Syndrome ... nephrotic/nephritic syndromes ... Nephritic #Nephrotic #Syndrome ... #Comparison #Algorithm
Understanding & Treating ARDS - Acute Respiratory Distress Syndrome • Timing - within one week of
Respiratory Distress Syndrome ... Impaired Oxygenation PaO2 ... Distress #Acute #Syndrome
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