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differential cardiology ekg causes management hypoxemia tachycardia acutepe clinical criteria criticalcare echocardiogram embolism interpretation multifocal palpitations respiratory summary 1: 2
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
- Differential Diagnosis ... Arterial Hypertension ... Defect ** • Atrial ... Hypoventilation Syndrome ... #Diagnosis #Algorithm
ECG changes in Pulmonary Embolism - Sinus tachycardia - Complete or incomplete RBBB -
ECG changes in Pulmonary ... V1 - Right atrial ... rotation - Atrial ... AcutePE #HighRisk #Electrocardiogram ... #Diagnosis
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 ... #pulmonary #differential ... #diagnosis #causes
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 ... MAT #Cardiology #Diagnosis
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... common finding) • Atrial ... also a result of atrial ... in relation to ECG ... #EKG #Pulmonary
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
ARRYTHMIA • ATRIAL ... FIBRILLATION • ATRIAL ... PARKINSON WHITE SYNDROME ... TACHYCARDIA • ATRIAL ... DISEASE • HYPOXIA
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
tachycardia (2) Atrial ... (3) SVTs - atrial ... (3) Multifocal atrial ... #EKG #diagnosis ... #electrocardiogram
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... Gradient #alveolar #arterial ... #pulmonary #Hypoxia ... #diagnosis
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
- Differential Diagnosis ... direction leads to hypoxemia ... hepatopulmonary syndrome ... , atrial or ventricular ... #Differential #Diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... Summary A defect in arterial ... cycles after right atrial ... passage • Arterial ... blood gas (ABC)
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