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differential causes pulmonary algorithm treatment cardiology hematology hepatology infectiousdiseases rheumatology criticalcare hypertension phtn acute cirrhosis failure infections respiratory summary workup
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... Mismatch • Airway Disease ... • Parenchymal Disease ... disease • Pulmonary ... #Hypoxia #Differential
Nail Clubbing - Differential Diagnosis Algorithm Bronchopulmonary Disease • Bronchiectasis • Chronic Lung Infection • Lung Cancer
- Differential Diagnosis ... Bronchiectasis • Chronic ... Lung Infection ... • Lung Cancer ... Hypoxia Cardiovascular
Hypoxemia / Hypoxia - Rapid Response Management Algorithm Stridor - Upper airway pathology: • Anaphylaxis • Foreign
Hypoxemia / Hypoxia ... asthma • Pleural disease ... Sophia_Hayes_MD #Hypoxemia ... #Hypoxia #differential ... #Diagnosis #Management
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
• Secondary to chronic ... lung disease (COPD ... ) • Hypoxia ... MAT #Cardiology #Diagnosis ... #ECG #EKG #Management
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm Pulmonary Arterial Hypertension • Idiopathic • Associated with:
Connective Tissue Disease ... Congenital Heart Disease ... Disease and/or ... Hypoxemia: • COPD ... Thromboembolic Disease
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
- Differential Diagnosis ... diseases, pulmonary ... direction leads to hypoxemia ... hepatopulmonary syndrome ... Respiratory #Failure #hypoxia
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Disease, Interstitial ... Disease and more ... Disease Unremarkable ... arterial #pulmonary #Hypoxia ... #hypoxemia #differential
Clinical Classification of Pulmonary Hypertension 1. Pulmonary arterial hypertension from pulmonary vasculopathy Idiopathic pulmonary arterial hypertension Heritable gene mutations
hypertension due to lung ... disease and/or ... hypoxia Chronic ... Interstitial lung ... Classification #Diagnosis
Interstitial Lung Diseases (ILD) Exposure-Related ILD (a.k.a. extrinsic allergic alveolitis): • Hypersensitivity pneumonitis, Farmer's lung, Bird
Diseases (ILD) ... Connective Tissue Disease ... connective tissue disease ... disease (RB-ILD ... #Diseases #ILD
Chronic Cough - Differential Diagnosis Algorithm Red Flags: • Fever, night sweats, chills (infection) • Weight loss,
Dyspnea (underlying lung ... disease or CHF) ... refer + order CT ... History of cancer, lung ... disease #Chronic
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