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1408  Cyanosis



            Cyanosis
  VetBooks.ir                                              Cyanosis






                            Central cyanosis                                Peripheral
                                                                           cyanosis only


             Eupnea or hyperpnea      Abnormal respiration            Peripheral pulse present?
                                                                      Yes                Yes            No


            • Congenital heart disease  Dyspnea  Stridor       Decreased arterial  Venous obstruction  Arterial
            • Erythrocytosis                   • Large airway  supply            • Tumor            thromboembolism
            • Methemoglobinemia                   obstruction  • Hypotension     • Tourniquet
              (“brown” blood)                                  • Heart failure   • Venous thrombosis
                                                               • Dehydration
                                                               • Hypothermia

                   Abnormal radiographs                                      Normal radiographs

             • Lung disease
             • Pleural disease                                          Arterial oxygen        “Brown” blood:
             • Heart disease                                           response to 100%      methemoglobinemia
             • Airway disease                                           inspired oxygen







                                                      No improvement            Improved
                                                      • Erythrocytosis          • Pulmonary thromboembolism
                                                      • Congenital heart disease  • Hypoventilation (neuromuscular)
                                                      • Pulmonary thromboembolism
                                                      • Pulmonary shunting
































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