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diagnosis differential edema hypoxemia ncpe noncardiogenic aa abg abnormalities acid acidbase alveolar amiodarone arterial base bloodgas breathing bronchiectasis cardiology disorders
Causes of Hypoxemia- Differential Diagnosis Algorithm Ventilation/perfusion Mismatch • Airway Disease (Asthma, COPD) • Vascular (PE*) •
Causes of Hypoxemia ... Differential Diagnosis Algorithm ... • Interstitial lung ... #Diagnosis #Algorithm ... #Causes #Pulmonary
Hypoxemic Respiratory Failure - Differential Diagnosis Framework DECREASED INSPIRED OXYGEN • Low PATM Can decrease first part
: Interstitial lung ... ventilation (V) in the lungs ... direction leads to hypoxemia ... bypassing the lungs ... #Failure #hypoxia
Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard
Possible small plural effusion ... pleura in severe cases ... Possible bilateral effusion ... severity Acute Respiratory ... A-Lines - Deep Vein
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
Hypoventilation: CNS of Respiratory ... Embolism, Obstructive Lung ... Disease and more • Diffusion ... , Interstitial Lung ... #Hypoxia #hypoxemia
Acid Base Disorders - Blood Gas Interpretation Steps for Blood Gas Interpretation: 1. Acidemia or Alkalemia? 2.
- Rapid saline infusion ... , pain, fever, hypoxia ... Classically” noted with pulmonary ... with associated hypoxia ... or restrictive lung
Abnormalities in Rate and Rhythm of Breathing Normal The respiratory rate is about 14—20 per min
including restrictive lung ... consider infarction, hypoxia ... Breathing In lung ... Breathing #Patterns #Pulmonary ... Abnormalities #Abnormal
Uncommon Causes of Noncardiogenic Pulmonary Edema (NCPE) - Differential Diagnosis Framework High Altitude Pulmonary Edema: • Accumulation
Uncommon Causes ... blood cells in the lung ... of acute respiratory ... dyspnea, tachypnea, hypoxemia ... and systemic veins
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework NCPE Pathophysiology: Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: ... • Flat neck veins ... ECHO: • Normal ... Etiology: • Acute respiratory ... Transfusion-related acute lung
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic cough • Hypoxia ... Most Common Causes ... in the adjacent lung ... of the affected lung ... - BAR >1.0 is abnormal
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... exudative pleural effusions ... toxicity (e.g., acute respiratory ... Exclude other causes ... Eosinophilia • Normal
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