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This is ATRIAL FIBRILLATION. Fibrillating right atria and rapid ventricular response.
Pulmonary vein isolation was performed and
This is ATRIAL FIBRILLATION ... Fibrillating right atria ... Pulmonary vein isolation ... AtrialFibrillation #AFib ... #Clinical #Video
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Noncardiac: • Pulmonary ... risk factors Atrial ... identify left atrial ... test for DM Atrial
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... arterial catheterization ... (PAC) has never ... pressure) -right atrial ... #NormalValues #Differential
Hypoxemia vs Hypoxia
Hypoxemia - Partial pressure of arterial oxygen (PaO2) is below normal
Hypoxia - Insufficient oxygen
Hypoxia Hypoxemia - Partial ... pressure of arterial ... at the tissue level ... hypoxia #hypoxemia #differential ... diagnosis #comparison #pulmonary
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Tomography (CT) - Arterial ... portal venous, T1 arterial ... Ultrasound - Early arterial ... Grayscale phase, Late arterial ... Contrast #CT #MRI #POCUS
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
(HPS) HPS-differential ... Pulmonary vasculature ... Patients with liver ... Alveolar-arterial ... HPS #hepatology #pulmonary
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Room Air + Sea Level ... Intracardiac, Pulmonary ... Gradient #alveolar #arterial ... #pulmonary #Hypoxia ... #hypoxemia #differential
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Paroxysmal AF, atrial ... flutter, or atrial ... Arrhythmias: • Atrial ... • Multifocal atrial ... Pheochromocytoma • Pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... 760 mm Hg at sea level ... lung diseases, pulmonary ... shunting (eg, atrial ... Failure #hypoxia #Differential
Broncholithiasis - Differential Diagnosis Framework

 • Also known as: Lung stones, pulmoliths, pneumoliths, bronchial calculi
 •
Broncholithiasis - Differential ... • Wheezing • Fever ... endobronchial material ... aspirated foreign material ... • Calcified material