18 results
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Hepatopulmonary Syndrome ... Echocardiogram (A4C ... Hepatopulmonary Syndrome ... when bubbles from agitated ... Echocardiogram #A4C
Gestational Hypertension & Preeclampsia

Gestational Hypertension (gHTN) 
• BP > 140/90 
• Onset > 20 wks gestation
Hypertension (gHTN ... Preeclampsia = gHTN ... Elevated AST/ALT • Pulmonary ... Seizure HELLP Syndrome
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Tamponade Pulmonary ... Vasculature: - PE - Pulmonary ... HTN - Vasculitis ... Hepatopulmonary syndrome ... diagnosis #causes #pulmonary
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Tamponade, Severe pHTN ... Abdominal compartment syndrome
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Noncardiogenic Pulmonary ... Noncardiogenic pulmonary ... because of excessive pulmonary ... respiratory distress syndrome ... HTN • Airway
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... Arterial blood gas (ABC ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary ... hepatopulmonary #syndrome
Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read more: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5466174/

- VCU Ultrasound
can be masked by pulmonary ... #tamponade #phtn ... #pulmonary #hypertension ... echocardiogram #a4c
Hypertensive Disorders of Pregnancy
Chronic Hypertension:
 • Guidelines as SBP ≥130 or DBP ≥ 90 mmHg
 •
unless severe HTN ... unless severe HTN ... doubling of Cr), pulmonary ... patients • HELLP: Syndrome ... #hypertension #htn
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
RV Failure (PE, PHTN ... CCB, BB, BRASH syndrome ... Cardiac Tamponade, Pulmonary ... cytokine release syndrome
Severe Pulmonary Hypertension on Echocardiogram
Pulmonary hypertension results in compensatory changes to the RV. The RV appears
Severe Pulmonary ... Echocardiogram Pulmonary ... rectangular (from A4C ... @OKiamanesh #Pulmonary ... #Hypertension #PHTN