27 results
Causes of Hypoxemia- Differential Diagnosis Algorithm
Ventilation/perfusion Mismatch
 • Airway Disease (Asthma, COPD)
 • Vascular (PE*)
 •
Causes of Hypoxemia ... Differential Diagnosis Algorithm ... Intracardiac Right ... Right to Left Shunt ... #Diagnosis #Algorithm
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
Hypoxemia Differential ... Diagnosis Algorithm ... Gradient: • Right-to-Left ... #Diagnosis #Algorithm ... #pulmonary #Aa
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
morphologies: • Rate ... disease (COPD) • Hypoxia ... • Pulmonary hypertension ... • Oxygen • Treatment ... condition • Rate
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
Iimitation in the flow rate ... in more severe hypoxemia ... might target ~15 ... #criticalcare #hypoxia ... #failure #algorithm
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Palpitations, light-headedness ... Noncardiac: • Pulmonary ... Rate Control • ... Cardiology #Management #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... with caution in pulmonary ... #Tachycardia #Treatment ... management #cardiology #algorithm
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
Leukostasis: • Pathophysiology ... coma - Pulm: Hypoxia ... organ damage • Treatment ... Lysis Syndrome: • Pathophysiology ... proliferation rate
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess Pathophysiology ... degrees • Chills, night ... weight loss • Late ... CXR upright or lat ... Lung #Abscess #pulmonary
Lymphomas and Lymphoproliferative Disorders - Differential Diagnosis Algorithm
Hodgkin Lymphoma ~40% - Characteristic For Reed-Sternberg (RS) Cells
Differential Diagnosis Algorithm ... Responsive to Treatment ... very high mitotic rate ... Classification #pathophysiology ... #differential #algorithm
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
blood donor • Pathophysiology ... : 33% • Treatment ... CKD, CHF, high rate ... , and CXR with pulmonary ... : No • Treatment