38 results
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
congenital heart disease ... testing; CTEPH, chronic ... , chest X-ray; HPAH ... dysplasia; CLD, chronic ... lung disease; LFT
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Pulmonary hypertension ... Pulmonary hypertension ... due to lung disease ... lung disease Other ... pulmonary disease
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm
Pulmonary Arterial Hypertension
 • Idiopathic
 • Associated with:
Causes of Pulmonary ... Diagnosis Algorithm Pulmonary ... • Valvular Lung ... • Interstitial Lung ... Metabolic Disorders Chronic
Pulmonary Function Tests (PFTs) - Interpretation Algorithm
 • Normal
 • Pulmonary Hypertension, Anemia, Carboxyhemoglobinemia
 • Chest
Pulmonary Function ... Hypertension, Anemia ... Carboxyhemoglobinemia • Chest ... • Interstitial Lung ... Disease • Asthma
Chronic Cough - Differential Diagnosis Algorithm
Red Flags:
 • Fever, night sweats, chills (infection)
 • Weight loss,
Chronic Cough - ... Dyspnea (underlying lung ... refer + order CT ... History of cancer, lung ... disease #Chronic
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Secondary to chronic ... lung disease (COPD ... • Hypoxia • Pulmonary ... hypertension
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Parenchyma • Chronic ... Diffuse Lung Disease ... Syndrome • Chronic ... Lung Infection ... Arterial Hypertension
Pulmonary Hypertension Groups - WHO Classification
Group I - Vascular remodeling of pulmonary arteries
 • Idiopathic, HIV,
Pulmonary Hypertension ... Group III - Chronic ... lung disease causing ... • Sarcoidosis, chronic ... #Hypertension #
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
• Parenchymal Disease ... • Interstitial lung ... diseasePulmonary ... Arterial Hypertension ... Abnormalities • Chest
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Bronchitis • Chronic ... disease • Asthma ... • Interstitial lung ... disease Vasculature ... hypertension