9 results
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 ... Pulmonary vasculature ... Diseases of the lung ... Patients with liver ... #HPS #hepatology
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
in addition to signs ... studied) with liver ... cirrhosis. ... such as nephrotic syndrome ... PhysicalExam #Clinical #Photo
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
the setting of liver ... • Underlying liver ... with or without cirrhosis ... hypertension • Liver ... management #treatment #hepatology
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
disorder of chronic liver ... : 1) chronic liver ... DIAGNOSIS - TRIAD: • Liver ... the severity of liver ... #hepatology
Nail Pathologies - Findings in or Near Nails

Paronychia 

A superficial infection of the proximal and lateral
Terry's Nails ... Seen in liver disease ... , usually cirrhosis ... seen in Reiter's syndrome ... Diagnosis #Clinical #Signs
Pemberton’s Sign in a Patient with a Goiter- Physical examination revealed an enlarged thyroid with no
was 0.2 mIU per liter ... and the serum level ... superior vena cava syndrome ... #clinical #photo ... #radiology #CT
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
Disease: • 10%-15% Pulmonary ... , INC risk PE, Pulmonary ... vasculitis: 10%-16% Liver ... primary biliary cirrhosis ... MALT Lymphoma • Lung
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
, neutropenia, cirrhosis ... normal glucose level ... , A. niger, A. terreus ... change in the lungs ... nails, bronchi, lungs
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
EMHighAK) and Brit Long ... Vital signs: BP ... bleeding often from a liver ... #Radiology #CTChest ... #Lung #Pulmonary