7 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 ... #treatment #hepatology
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
canoeing, kayaking, trail ... Epidemiologic exposure + clinical ... agglutination - test ... microbiology #diagnosis #treatment ... #management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... Pulmonary Vessels Thrombi ... Pulmonary Vessels Thrombi ... Bypass Other Treatment ... Thromboendarterectomy #diagnosis #management
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
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 ... #cardiology #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 ... medical and surgical management