11 results
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
left heart 3-6 cardiac ... atrial passage ... gas (ABC) analysis ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
quantify renal injury ... (UPC) ratio • Cardiac ... o infection • Echocardiogram ... EGPA (↓ LVEF, pericardial ... differential #diagnosis #management
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Transthoracic echocardiogram ... artery pressure ... ventricular size, Right atrial ... artery diameter ... Hypertension #diagnosis #management
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... Noncardiac: • Pulmonary ... ventricular hypertrophy, pericardial ... weeks before or TEE ... AFib #diagnosis #management
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Artery Pressures ... CARDIAC POWER OUTPUT ... SHOCK trial registry ... Increases in RAP or pericardial ... much as 40% in cardiac
Cardiac Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type

Bioprosthetic valves require at least
Cardiac Valve Replacement ... can be stopped after ... experts utilize direct ... patients with chronic atrial ... #Management #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause Injury ... ↑ Suspicion -> TEE ... Endocarditis #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... exam Determine Cardiac ... days before Pulmonary ... postoperative cardiac ... medical and surgical management
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
What do you see ... liver disease and pulmonary ... as RAP>LAP as atrial ... PVeins (extra-cardiac ... clinical #pocus #a4c
Fusarium Infections
Acquired through:
1. Inhalation of airborne conidia > germinates > blood > disseminated
2. Trauma (implantation with
cases, median -3d ... after incubation ... Refractory FUO, Sino-pulmonary ... type of injury ... infectiousdiseases #diagnosis #management