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differential management acute criticalcare dyspnea hepatology hypoxemia nephrology respiratory summary ultrasound aa abg acid acidbase acidosis aids alveolar amiodarone arterial
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... • Interstitial lung ... Hypoventilation Syndrome ... #Diagnosis #Algorithm ... #Causes #Pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
- Differential Diagnosis ... obesity-hypoventilation syndrome ... direction leads to hypoxemia ... hepatopulmonary syndrome ... #Differential #Diagnosis
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... • Effusion ... Acute Coronary Syndrome ... Pneumonia • ARDS ... #Algorithm #Causes
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
pleura in severe cases ... Respiratory Distress Syndrome ... (ARDS): - Bilateral ... #differential #diagnosis ... #signs #Lung #POCUS
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet An acute diffuse, inflammatory lung injury, leading to
Respiratory Distress Syndrome ... leading to increased pulmonary ... congestion with hypoxemia ... the underlying cause ... #CheatSheet #Diagnosis
Causes of Pleural Effusion - Differential Diagnosis Algorithm Transudate - Hydrostatic • Congestive heart failure • Constrictive
Causes of Pleural ... Diagnosis Algorithm ... Pneumonectomy • Trapped lung ... #Pulmonary #Diagnosis ... #causes
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... : Atelectasis, ARDS ... , Interstitial Lung ... #Hypoxia #hypoxemia ... #differential #diagnosis
Berlin Criteria for Acute Respiratory Distress Syndrome (ARDS) - Respiratory symptoms must have begun within one
have begun within one ... explained by pleural effusions ... lobar collapse, lung ... severity of the hypoxemia ... Definition #Criteria #Diagnosis
Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Causes of Dyspnea ... Superior vena cava syndrome ... • Interstitial lung ... Pleura: • Pleural effusion ... #Algorithm #Causes
Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... sliding: Pulmonary ... edema, ARDS, interstitial ... Lung POCUS shows ... NOT definitively diagnose
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