10 results
Echocardiographic Findings of Acute Right Ventricular Strain
 - Increased RV:LV Size Ratio
 - Abnormal Septal Motion
Size Ratio - Abnormal ... Regurgitation - Elevated Pulmonary ... #RV #Strain #Echocardiogram ... #POCUS #diagnosis ... Ventricular #cardiology #POCUS
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
65 years PBC Pathophysiology ... • ALT & AST normal ... • Bilirubin - Normal ... or higher • Liver ... #workup #hepatology
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Hypertension Presence of pulmonary ... a patient with portal ... Transthoracic echocardiogram ... hemodynamics Liver ... #management #hepatology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
protein C and S Pathophysiology ... Thrombocytopenia - Normal ... DIC • Severe Liver ... - APTT < 1.5 x normal ... #Coagulation #diagnosis
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
ATRA treatment Pathophysiology ... Imaging: CXR- pulmonary ... opacities • Diagnosis ... 500 mg QD until normal ... #management #hematology
Sarcoidosis - Diagnosis and Management Summary
Epidemiology
1) High incidence in Scandinavian countries (11-24 cases per 100,000 individuals
survival is 93-95% Pathophysiology ... Pulmonary: dyspnea ... anterior/posterior MSK ... heart (2-5%), liver ... (pain/abnormal
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
abnormalities PATHOPHYSIOLOGY ... digital clubbing DIAGNOSIS ... disease &/or portal ... Syndrome #cirrhosis #diagnosis ... #hepatology
Diffuse Systemic Sclerosis (Scleroderma)
 - Pulmonary Fibrosis -> Crackles, Abnormal CXR
 - Pulmonary Hypertension, Right Heart
Fibrosis -> Crackles, Abnormal ... CXR - Pulmonary ... Renal Failure - Mask ... #Scleroderma #pathophysiology ... signs #symptoms #diagnosis
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
host): • Chronic pulmonary ... Histoplasmosis Diagnosis ... Mississippi and Ohio River ... level • A low or normal ... Aspergillosis Pathophysiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
Several of the diagnoses ... This post will focus ... considering the diagnosis ... defaulting to a normal ... bleeding often from a liver