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An Algorithm for CSF Shunt Complications #Algorithm, #CSFShunt, #NSGY, #Neurosurgery, #ddxof
Algorithm for CSF Shunt
Pulmonary Artery Catheter Pressures Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2 HFrEF,
Left-to-Right Shunt ... Right-to-Left Shunt
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Right to Left Shunt ... Right to Left Shunt
Differential Diagnosis: Cyanosis - Mnemonic "COLD PALMS" Peripheral cyanosis • Cold • Obstruction • LVF and shock
sulfhemoglobinemia • Shunt
Patent Ductus Arteriosus (PDA) on Cardiac MRI 16 y with Syncope /differential cyanosis / clubbing - PDA
PDA with R to L shunt ... CardiacMRI #CMRI #clinical
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 Causes of Cyanosis in the Newborn - Differential Diagnosis Algorithm Peripheral Only: • Poor Perfusion • Acrocyanosis Hemoglobinopathy:
Left-to-Right Shunt ... Right-to-Left Shunt
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Right to Left Shunt ... - Anatomic Shunt ... - Physiologic Shunt
Osler's Nodes: Painful, erythematous nodules associated with bacterial endocarditis. Photo credit, Josh Fierer, M.D. Charlie Goldberg, M.D.
Photo credit, Josh ... UCSD Catalog of Clinical ... Images #Clinical ... #Photo #Dermatology
Transjugular Intrahepatic Portosystemic Shunt (TIPS) TIPS involves the creation of a low-resistance pathway between a hepatic vein
Portosystemic Shunt ... Portosystemic #Shunt
AEIOU TIPS - Mnemonic for Causes of Altered Mental Status A - Alcohol, Acidosis, Ammonia, Arrhythmia E -
Occupying Lesions, Shunt
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