14 results
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... left heart 3-6 cardiac ... gas (ABC) analysis ... cirrhosis • Intra-pulmonary ... ) on room air Treatment
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
palpable purpura 2/ ... quantify renal injury ... 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 ... artery diameter ... ventricular septum 2) ... pressure < 15mmHg TREATMENT
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 ... cardioversion 2. ... Anticoagulation ≥4 weeks after
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
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
liver or renal injury ... before beginning treatment ... perfusion - Cardiac ... failure - Low cardiac ... output - Acute pulmonary
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
bronchial wall injury ... Digital clubbing (2- ... • Pulmonary artery ... CT) • Broncho-arterial ... mycobacteria Treatment
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 ... management for select
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
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
• Classic triad ... Hypertension: 1/2 ... may present with pulmonary ... After sufficient ... vasodilatory effect