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pocus diagnosis differential clinical pleural radiology causes chestct diseases hypoxemia algorithm complex parapneumonic respiratory aa absence absent alveolar arterial assessment
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... • Interstitial lung ... disease • Pulmonary ... Septal Defect Pulmonary ... Malformation • Severe Pneumonia
Radiographic Features of Pulmonary Diseases - Pneumonia - Atelectasis - Emphysema - Pneumothorax - Effusion -
Diseases - Pneumonia ... Atelectasis - Emphysema ... Pneumothorax - Effusion ... Reticular - Emphysema ... Radiology #Patterns #Lung
Acute Hypoxemia - Differential Diagnosis • Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia ... Focal Alveolar: Pneumonia ... Hemorrhage • Impaired Diffusion ... Embolism, Emphysema ... #hypoxia #Differential
Hydropneumothorax on Lung POCUS HIV/AID(CD4<250) with cough, dyspnea.Left lung anterior mid. Left lung. Findings consistent with PNA.
anterior mid. ... Has pleural effusion ... hydropneumothorax #effusion ... POCUS #clinical #ultrasound ... #pulmonary
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 Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
: Interstitial lung ... direction leads to hypoxemia ... • Causes: Pneumonia ... bypassing the lungs ... Respiratory #Failure #hypoxia
Radiographic appearances of pulmonary diseases in HIV/AIDS Patients • Diffuse Interstitial Infiltrates: Pneumocystis jirovecii, M.tuberculosis, Histoplasma
Actinomyces spp., NHL; Lung ... disease • Pleural effusion ... Parapneumonic effusion ... ; empyema, M.tuberculosis ... (NHL, primary effusion
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Ultrasound Findings ... pleura reflection) Pneumonia ... Possible small plural effusion ... Possible bilateral effusion ... #POCUS #ultrasound
Empyema on POCUS 89-year-old male with fever and dyspnea. Lung ultrasound reveals what chest x-ray hides -
Empyema on POCUS ... Lung ultrasound ... Loculated Pleural Effusion ... #Lung #Ultrasound ... POCUS #Clinical #Pulmonary
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 Causes of Dyspnea - Differential Diagnosis Algorithm Cardiac: • Dysrhythmia • Ischemia • Cardiomyopathy • Valvular disease
Parenchyma: • Pneumonia ... • Pulmonary edema ... Atelectasis • Emphysema ... • Interstitial lung ... Pleura: • Pleural effusion
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Atelectasis, ARDS, Pneumonia ... Embolism, Obstructive Lung ... Disease and more • Diffusion ... , Interstitial Lung ... #Hypoxia #hypoxemia
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