34 results
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... • Interstitial lung ... Arterial Hypertension ... Defect ** • Atrial ... Hypoventilation Syndrome
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... Secondary to chronic lung ... disease (COPD) • Hypoxia ... • Pulmonary hypertension ... #Multifocal #Atrial
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
ARRYTHMIA • ATRIAL ... FIBRILLATION • ATRIAL ... PARKINSON WHITE SYNDROME ... TACHYCARDIA • ATRIAL ... DISEASE • HYPOXIA
Diagnostic algorithm for a child or adolescent with suspected pulmonary hypertension. CHD, congenital heart disease; CPET,
arterial hypertension ... arterial hypertension ... ; PCH, pulmonary ... ; CLD, chronic lung ... #Hypertension #Workup
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
obesity-hypoventilation syndrome ... direction leads to hypoxemia ... hepatopulmonary syndrome ... shunting (eg, atrial ... Respiratory #Failure #hypoxia
Causes of Pulmonary Hypertension - Differential Diagnosis Algorithm
Pulmonary Arterial Hypertension
 • Idiopathic
 • Associated with:
Causes of Pulmonary ... Arterial Hypertension ... • Valvular Lung ... Disease and/or Hypoxemia ... • Interstitial Lung
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
• Diffuse Lung ... Respiratory Distress Syndrome ... • Chronic Lung ... Arterial Hypertension ... #HeartFailure #Cardiology
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... , Interstitial Lung ... Gradient #alveolar #arterial ... #pulmonary #Hypoxia
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Pulmonary arterial ... arterial hypertension ... and/or hypoxia ... Interstitial lung ... #Differential #Causes
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Stroke Volume / Arterial ... of developing atrial ... mmHg developed atrial ... Acute Coronary Syndrome ... #cardiology