13 results
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Hepatopulmonary ... Echocardiogram (A4C ... visualized in the left atrium ... Echocardiogram #A4C ... bubble #shunting #hepatology
Hepatopulmonary Syndrome (HPS) 

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

HPS-diagnosis:
1. Patients
Hepatopulmonary ... Patients with liver ... disease 2. ... Alveolar-arterial ... Syndrome #HPS #hepatology
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M
Hepatopulmonary ... Echocardiogram (A4c ... cirrhosis with hepatopulmonary ... cardiology #clinical #pocus ... #hepatology #a4c
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework

VENOUS THROMBOSIS

 • Acquired Risk Factors:
	- >48 hours
Syndrome, Ischemic Liver ... • Cardiac: - Atrial ... thrombus - atrial ... intravascular coagulation ... pathophysiology #hematology
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
2. ... Prolonged Activated Partial ... drugs e.g. direct thrombin ... #differential #hematology ... #coagulation
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary ... anatomic shunt (Type 2) ... blood gas (ABC) ... LizzieAbyMD #hepatopulmonary ... management #treatment #hepatology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
• Increased thrombin ... CNS involvement (2% ... variants of both • Acral ... DIC • Severe Liver ... treatment #management #hematology
Thrombotic Microangiopathy - TMAs
1. Not all MAHAs are due to TMAs but (almost) all TMAs cause
cause MAHA. 2. ... TMA is a triad of ... metabolism and coagulation-mediated ... catastrophic APS, SRC ... Microangiopathy #TMAs #hematology
Differential Diagnosis for a Prolonged PT and aPTT
If the PT and the aPTT are both prolonged,
filling of tube) 2. ... drugs (e.g. direct thrombin ... • Reduced liver ... #differential #hematology ... #coagulation
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Presence of pulmonary arterial ... ventricular size, Right atrial ... ventricular septum 2) ... hemodynamics Liver ... diagnosis #management #hepatology