11 results
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
thromboembolism) 1) ... Transthoracic echocardiogram ... m/s • Other signs ... ventricular septum 2) ... Effect: PATENT-1
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Stages: 1. ... tissue perfusion 2. ... or spinal cord injury ... severe aortic or mitral ... hypertension
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened ... (2) Lvef 25-30% ... (4) All 4 cardiac ... seen in LA by the ... clinical #cardiology #a4c
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Stages: 1. ... tissue perfusion 2. ... or spinal cord injury ... severe aortic or mitral ... hypertension
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Management Summary • Hypotension ... SOFA and SIRS 1) ... Signs • Establish ... Tamponade - Pulmonary
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... left heart 3-6 cardiac ... Arterial blood gas (ABC ... disease - Portal hypertension
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
- Differential Diagnosis ... → Syncope • Signs ... maintain adequate cardiac ... Multi-system illness: 1. ... encephalopathy) 2.
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 ... hypertension? ... PVeins (extra-cardiac ... clinical #pocus #a4c
Weakness - Differential Diagnosis Framework

Approach To Weakness:
 • Non-neuromuscular disorder (Cardiac, pulmonary etc)
 • CNS ->
- Differential Diagnosis ... Non-neuromuscular disorder (Cardiac ... , pulmonary etc) ... leukodystrophies 2. ... Lack of UMN/LMN signs
Evaluation of Recurrent Falls

Core Concept:
Maintaining an upright posture requires the integrated function of multiple systems.
Disruption in
contribute to falls. 1. ... - Cardiac arrhythmias ... cardiogenic) - Pulmonary ... 2. ... positive Romberg sign