Pulmonary Pearls

Pulmonary Pearls Edward Omron MD, MPH Pulmonary/Critical Care Medicine

History ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Physical Exam ,[object Object],[object Object],[object Object],[object Object],[object Object]

Initial Tests ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What is the most likely pathogen in this patient? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Initial Treatment in the ER ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

What antibiotic regimen would you prescribe in the ER? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Initial antibiotics given in the ER ,[object Object],[object Object],[object Object],[object Object]

Follow Up ,[object Object],[object Object],[object Object],[object Object]

Community Acquired MRSA Sensitivity in this patient ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CA-MRSA Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

CA-MRSA: 48 hours of destruction Admission 48 hours later

Healthcare Acquired Pneumonia ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

59 yo with dyspnea and increased work of breathing ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

COPD Management Non-invasive ventilation ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

COPD Management ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

ABG INDICATION ,[object Object],[object Object],[object Object],[object Object]

Blood Gas Report( Arterial ) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Changes in PO 2 and PCO 2 as oxygen moves from atmosphere to arterial blood

[object Object],[object Object],[object Object],[object Object],[object Object]

ANALYSIS OF OXYGENATION ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Alveolar-Arterial Oxygen Difference ,[object Object],[object Object],[object Object],[object Object]

Changes in PaO 2 and PAO 2 with age

Arterial Oxygen Values ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Changes in P(A-a)O 2 with FIO 2

Causes of a low PaO 2 ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Alveolar Hypoventilation ,[object Object],[object Object],[object Object],[object Object]

Pulse Oximetry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pulse Oximetry Whole Blood PaO2 SaO2 SpO2: Pulse Oximetry ABG

Problem ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Methemoglobin ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Co-oximetry ,[object Object],[object Object]

Oximetry ,[object Object],[object Object],[object Object],[object Object],[object Object]

Oximetry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Pulmonary Pearls

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Editor's Notes