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Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary Syndrome ... Diseases of the ... lung parenchyma ... Patients with liver ... disease 2.
Clinical manifestations of acute liver failure 

Brain: 
Hepatic encephalopathy,  
Cerebral edema,  
Intracranial hypertension,
Clinical manifestations ... pancreatitis Lungs ... : Acute lung injury ... #failure #Signs ... #Symptoms #Diagnosis
Sarcoidosis
Stage 1 - Bilateral LAD without involvement of lung parenchyma
Stage 2 - Bilateral LAD with involvement
4 - Fibrosis Pulmonary ... disease with infiltrates ... gland sweling, fever ... #Sarcoidosis #Diagnosis ... Stages #Staging #Signs
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
CRITICAL DIAGNOSES ... infarction - Pulmonary ... Neuroleptic malignant syndrome ... - Sickle cell disease ... Postmyocardiotomy syndrome
Problem Representation - Approach to the Infectious Disease Patient

Who: Patient age and host/risk factors (such as
the Infectious Disease ... illness What: Key signs ... that define the clinical ... syndrome - Does ... e.g. brain and lung
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Lady Windermere Syndrome ... : • Syndrome of ... Disease: Clinical ... Lung Disease: ... #infectiousdiseases
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
Pulmonary ... • Interstitial lung ... , SLE • Pulmonary ... • Shrinking lung ... #differential #diagnosis
Fever Patterns - Differential Diagnosis Framework

Continuous Fever:
Temp > 38°C with only 1 degree fluctuation in 24
Differential Diagnosis ... • Behcet's syndrome ... Brucellosis Faget's Sign ... or lung abscess ... #Differential #Diagnosis
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
disease, idiopathic ... pulmonary fibrosis ... due to alveolar syndrome ... fibrotic alveolar syndrome ... #Clinical #Diagnosis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Room Air + Sea Level ... Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... , Interstitial Lung ... #differential #diagnosis