9 results
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
left heart 3-6 cardiac ... gas (ABC) analysis ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary ... ) on room air Treatment
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 ... diagnosis #management #treatment
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 ... pressure < 15mmHg TREATMENT
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
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 ... Anticoagulation ≥4 weeks after
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
liver or renal injury ... perfusion - Cardiac ... output - Acute pulmonary ... B3: Hereditary Defects ... myopathies - Defects
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 ... disease: • Optimal treatment ... type of injury
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
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... Cerebral > Splenic, Pulmonary ... Septic emboli cause injury ... + ↑Suspicion → TEE ... hematuria, + RF Treatment