32 results
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
of Hypoxemia- Differential ... Defect ** • Atrial ... Right to Left Shunt ... Abnormalities • Chest ... Hypoxemia #Hypoxia #Differential
Pneumonia on Chest Xray and POCUS

Extensive pneumonia in lower left lobe (red arrow). 
POCUS: Dynamic air
Pneumonia on Chest ... pneumonia in lower left ... CXR #Comparison #Clinical ... #Lung #Pulmonary ... #Clinical
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... 's female with chest ... Differential/diagnosis ... Pulmonary embolism ... Echocardiogram #A4c #clinical
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
Hemothorax on Lung POCUS ... chest. ... Hemothorax #Lung #POCUS ... #Spine #Sign #clinical ... #ultrasound #Pulmonary
Massive Left Atrial Myxoma on Echocardiogram (TEE)
Pt admitted for SOB x 2 months with episode of
Massive Left Atrial ... of syncope and chest ... @RussSayin #Atrial ... Echocardiogram #TEE #clinical ... #cardiology #POCUS
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes (PRS) are life-threatening ... coagulopathy) • CBC w differential ... blood retum in serial ... RBC casts, low grade ... Renal #Syndromes #differential
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Weakness, Loss of Chest ... Elasticity (flail chest ... Gradient • Right to Left ... Gradient #alveolar #arterial ... #hypoxemia #differential
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Clinical Classification ... Pulmonary arterial ... arterial hypertension ... due to left heart ... Classification #Diagnosis #Differential
Bilateral B-Lines in case of Pneumonia on Lung POCUS

Young healthy pt with fever/dyspnea. POCUS lung exam
POCUS lung exam ... immunosuppression, travel ... Differential Bilat ... /lung sliding: Pulmonary ... #clinical #ultrasound
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... not specific • Chest ... thromboembolic material ... Thrombi Removal → Left ... antagonist • BENEFiT Trial