8 results
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
shunt (Type 2) Clinical ... cycles after right atrial ... blood gas (ABC) ... 10 minutes of rest ... #management #treatment
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
canoeing, kayaking, trail ... : conjunctival suffusion ... Epidemiologic exposure + clinical ... agglutination - test ... #treatment #management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... • Ventilation-perfusion ... Pulmonary Vessels Thrombi ... Pulmonary Vessels Thrombi ... Bypass Other Treatment
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... then the next tests ... are not POCUS: serial ... Echocardiogram #A4C ... #clinical #cardiology
Acromegaly - Diagnosis and Management Summary - GrepMed Handbook 

Clinical Presentation: 
 • Classic Acromegaly: frontal
GrepMed Handbook Clinical ... decade → peripheral/acral ... before epiphyseal fusion ... glucose suppression test ... Endocrinology #Treatment
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
- Differential Diagnosis ... - shock->treatments ... tests before beginning ... treatment. ... ’s • Reduced Arterial
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
LVEDd > 6.0 cm, LV thrombus ... Clinical • Under-recognized ... support for patients clinically ... Serial TTE and close ... #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
determine if stress test ... Change in clinical ... one post op Cardiology ... CARP, DECREASE V trials ... stratification #diagnosis