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Cyanosis: Differentiation 1212.e1



            Cyanosis: Differentiation
  VetBooks.ir                               SaO 2             PaO 2             PaCO 2 *                PaO 2



            Problem                      Room Air*          Room Air*         Room Air*         Response to 100% O 2
            Peripheral cyanosis          Normal †           Normal †          Normal                    (−)
            Right-to-left intracardiac shunt  ↓↓            ↓↓                Normal                    (−)
            Pulmonary parenchymal disease  ↓↓               ↓↓                ↑                         ↑
            Hypoventilation              ↓                  ↓                 ↑↑                        ↑
            Systemic hypoperfusion       ↓                  ↓                 Normal/↑                  ↑
            Ventilation/perfusion mismatch  ↓               ↓                 Normal/↓                  ↑
            Methemoglobinemia            ↓                  Normal            Normal                    (−)

           *Normal SaO 2 (room air) = ≈97%; normal PaO 2 (room air) = ≈100 mm Hg; normal PaCO 2  (room air) = ≈40 mm Hg.
           † Unless blood drawn from affected area.
           ↓, Decreased; ↓↓, markedly decreased; ↑, increased; ↑↑, markedly increased; (−), no response.
           From Ettinger S, Feldman E: Textbook of veterinary internal medicine, ed 5, St. Louis, 2000, Saunders.




                                                                                                                      Differentials, Lists,   and Mnemonics






















































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