4783 results
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... ↓Ventilation (↑Shunting ... Hypoxemia #Hypoxia #Differential
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Defect (ASD) with Shunting ... pocus #bubble #Shunting
Acute Kidney Injury - Differential Diagnosis Framework
PRERENAL:
 - Intrarenal vasoconstriction-hemodynamically mediated
 - Systemic vasodilation
 - Volume
Kidney Injury - Differential ... urinalysis, labs - Management ... renal biopsy - Management ... percutaneous drainage, or stenting ... #Injury #AKI #Differential
Acute Kidney Injury (AKI) - Differential Diagnosis Framework

PRE-Renal AKI:
 • Hypovolemia
 • Congestion
 • Medications
 •
Injury (AKI) - Differential ... Medications • Shunting ... Kidney #Injury #Differential
PFO with shunting on Contrast Echocardiogram (a4c) 
74 yo presents with CVA. RoPE score of 4.
PFO with shunting ... DrShemisa #PFO #shunting
Syncope in 3 Steps
1. Consider the 3 "S" Mimics: Seizure, low Sugar, Stroke (TIA)
2. Heart vs
like Gl loss, shunting ... other #Syncope #differential
Bronchiolitis Management

When to admit: 
- Any history of apnoea 
- Persistant sats < 92% 
- Inadequate
Bronchiolitis Management ... respiratory distress - Grunting ... Bronchiolitis #Management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... Intrapulmonary shunting ... , intracardiac shunting ... Failure #hypoxia #Differential
Double Counting on Cardiac Monitoring
The “double counting” heart rate phenomenon. T waves are so prominent the
Double Counting ... Monitoring The “double counting ... EM_RESUS #Double #Counting
Shifting Dullness to Percussion on Physical Exam to Detect Ascites

Dr. André Martin Mansoor @AndreMansoor

#Shifting #Dullness #Percussion
Shifting Dullness ... AndreMansoor #Shifting