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management cardiology differential hepatology hepatopulmonary infectiousdiseases syndrome amiodarone antibiotic cirrhosis cteph failure fungal hypertension induced infections mycoses phtn thromboendarterectomy toxicity
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy Chronic Thromboembolic Pulmonary Hypertension Definition: mean pulmonary-artery pressure > 25mmHg
Exercise intolerance, dyspnea ... Ventilation-perfusion lung ... Bypass Other Treatment ... and recurrent VTE ... hemodynamic variables, dyspnea
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
absence of intrinsic lung ... Presentation: • Dyspnea ... • Platypnea - Dyspnea ... contrast-enhanced TTE ... on radioactive lung
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... Heart Failure • Dyspnea ... Cerebral > Splenic, pulmonary ... Differential Diagnosis ... Diagnosis?
Causes of Antibiotic Failure - Differential Diagnosis Framework Diagnosis: • Non-Infectious: Malignant, Autoimmune, Drug-related (NMS, serotonin syndrome,
/ "CAP" mimic, VTE ... Soon: Can take 48 hrs ... lines, osteo, endocarditis ... (daptomycin in lungs ... • Secondary to Treatment
Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
• Amiodarone half ... starting amiodarone treatment ... Dyspnea 3. ... Mortality has been ... macrophages Treatment
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
and Differential Diagnosis ... , verrucous) - Lung ... heart failure • Dyspnea ... Cerebral > Splenic, Pulmonary ... hematuria, + RF Treatment
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
antigen assay has ... Mucormycosis has ... change in the lungs ... arthritis, and endocarditis ... nails, bronchi, lungs
Hepatopulmonary Syndrome - Illness Script HPS is a pulmonary disorder of chronic liver disease characterized by a
presence in the lower lung ... • Progressive dyspnea ... contrast-enhanced TTE ... the left heart TREATMENT ... only definitive treatment
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