15 results
Pulmonary Embolism with IVC Thrombus In Transit

A patient presents with chest pain. Which of the following
Pulmonary Embolism ... most support her diagnosis ... artery filling defect ... #Pulmonary #Embolism ... echocardiogram #a4c
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Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Hypertension Presence of pulmonary ... ventricular size, Right atrial ... pressure, Pulmonary ... Diagnostic criteria ... pressure < 15mmHg TREATMENT
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Embolism, Obstructive ... • Diffusion Defect ... UnremarkableLab #AA ... Gradient #alveolar #arterial ... #differential #diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
blood gas (ABC) ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary ... ) on room air Treatment ... #management #treatment
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
embolism Pathophysiology ... regurgitation) Diagnosis ... defects • Confirm diagnosis ... Bypass Other Treatment ... Thromboendarterectomy #diagnosis
Pulmonary Embolism on POCUS Echocardiogram

S/p mitral repair and MAZE. Hypotensive dyspneic, lightheaded.
Bedside U/S expediting diagnosis treatment
Pulmonary Embolism ... U/S expediting diagnosis ... treatment and transfer ... #Embolism #AcutePE ... Echocardiogram #s4c
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Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... Cardiac Tamponade, Pulmonary ... Embolism, Outflow ... SCI, severe TBI, effect ... Undifferentiated #Shock #diagnosis
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
feature, PRS can affect ... multiplex WORKUP & DIAGNOSIS ... blood retum in serial ... #differential #diagnosis ... #management #treatment
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Summary GERD: Diagnosis ... Laryngeal and pulmonary ... Incomplete/relief/treatment ... medication adverse effects ... Reflux #Disease #diagnosis
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
Pheochromocytoma - Diagnosis ... 1928-1977) -> 50% diagnosed ... • Classic triad ... may present with pulmonary ... the vasodilatory effect