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differential management cardiology algorithm workup anesthesia anesthesiology checklist intraoperative summary syndrome acls adult aha2020 cardiacarrest classification criticalcare electrocardiogram embolism endocarditis
Hypoxemia vs Hypoxia Hypoxemia - Partial pressure of arterial oxygen (PaO2) is below normal Hypoxia - Insufficient oxygen
Hypoxemia vs Hypoxia ... Hypoxemia - Partial ... pressure of arterial ... #diagnosis #comparison ... #pulmonary
Hypoxia and Hypoxemia - Overview Hypoxia - insufficient oxygen delivered to tissues to meet demands Hypoxemia - low
oxygen dissolved in arterial ... hemoglobin in arterial ... oxygen content of arterial ... (e.g low cardiac ... #diagnosis #causes
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... Arterial Hypertension ... Defect ** • Atrial ... #Hypoxia #Differential ... #Causes #Pulmonary
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial ... disease (COPD) • Hypoxia ... • Pulmonary hypertension ... #Multifocal #Atrial ... #ECG #EKG #Management
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
High altitude (eg ... direction leads to hypoxemia ... intracardiac shunting (eg ... , atrial or ventricular ... Respiratory #Failure #hypoxia
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... common finding) • Atrial ... also a result of atrial ... #EKG #Pulmonary
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm Pulmonary Arterial Hypertension • Idiopathic • Associated with:
Causes of Pulmonary ... Algorithm Pulmonary ... Arterial Hypertension ... Disease - HIV Left-Sided ... Disease and/or Hypoxemia
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
ARRYTHMIA • ATRIAL ... FIBRILLATION • ATRIAL ... TACHYCARDIA • ATRIAL ... DISEASE • HYPOXIA ... #Differential #Diagnosis
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Gradient • Right to Left ... Gradient #alveolar #arterial ... #pulmonary #Hypoxia ... #hypoxemia #differential ... #diagnosis
Venn Diagram - Does this patient have pneumonia? Diagnosis is generally based on three lines of evidence:
chest infiltrate (e.g ... Inflammation (e.g ... leukocytosis, left-shift ... symptoms (e.g., ... signs (tachypnea, hypoxemia
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