10 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
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework

VENOUS THROMBOSIS

 • Acquired Risk Factors:
	- >48 hours
Syndrome, Ischemic Liver ... thrombus - atrial ... thrombocytopenia - Disseminated ... intravascular coagulation ... pathophysiology #hematology
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
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
Disseminated Intravascular ... • Increased thrombin ... variants of both • Acral ... DIC • Severe Liver ... treatment #management #hematology
Causes of Abnormal PT and/or aPTT
Prolonged Prothrombin Time (PT)
1. Acquired deficiency of FVII
Prolonged Activated Partial ... drugs e.g. direct thrombin ... Disseminated intravascular ... #differential #hematology ... #coagulation
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary ... cycles after right atrial ... blood gas (ABC) ... LizzieAbyMD #hepatopulmonary ... management #treatment #hepatology
Differential Diagnosis for a Prolonged PT and aPTT
If the PT and the aPTT are both prolonged,
drugs (e.g. direct thrombin ... • Reduced liver ... hemorrhage • Disseminated ... #differential #hematology ... #coagulation
Bleeding and Bruising - Disorders of Hemostasis - Differential Diagnosis Framework

== Quantitative or Qualitative defect in
inhibitor of a coagulation ... • Factor VIII level ... failure, disseminated ... warfarin, direct thrombin ... Differential #Diagnosis #Hematology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... #2 c/w hepatopulmonary ... as RAP>LAP as atrial ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
: - Fever + ANC ... syndrome): - Hematologic ... first) DIC (disseminated ... intravascular coagulation ... decompression SVC