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Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary ... Pulmonary vasculature ... Diseases of the ... Patients with liver disease ... #hepatology #pulmonary
Hepatopulmonary Syndrome
HPS - Diagnosis:
 1. Patients with liver disease
 2. Alveolar-arterial oxygen gradient (AaP02) >15 mmHg
Hepatopulmonary ... Patients with liver disease ... vasodilatation HPS ... mmHg • Severe HPS ... #Hepatopulmonary
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary ... Syndrome (HPS) Diagnosis ... Themis_Kourk #Hepatopulmonary ... #Syndrome #HPS ... Algorithm #hepatology #pulmonary
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver Disease ... Carcinoma (HCC) • Hepatopulmonary ... Syndrome (HPS)
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary ... ) on room air Treatment ... LizzieAbyMD #hepatopulmonary
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Intracardiac, Pulmonary ... AVMs, Hepatopulmonary ... Obstructive Lung Disease ... , Interstitial Disease ... Interstitial Lung Disease
Hepatopulmonary Syndrome (HPS) demonstrated on Echocardiogram Bubble Study

Intra-cardiac shunt: Bubbles appear in LA quickly (within 3
Hepatopulmonary ... Syndrome (HPS) demonstrated ... beats) Intra-pulmonary ... #HPS #Hepatopulmonary
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Algorithm for Treatment ... Thromboembolic Disease ... • Assess for Pulmonary ... Operability → Pulmonary ... #treatment
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
Hepatopulmonary ... is a pulmonary ... the left heart TREATMENT ... only definitive treatment ... #Hepatopulmonary
IDSA Aspergillosis Treatment
 • Invasive pulmonary aspergillosis (IPA)
 • CNS aspergillosis
 • Cardiac Aspergillus infection
 •
Aspergillosis Treatment ... • Invasive pulmonary ... eye Infectious Diseases ... Aspergillosis #Treatment