11 results
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
the setting of liver ... shunt (Type 2) Clinical ... • Underlying liver ... disease - Portal ... hypertension • Liver
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Troponin, Lactate, Liver ... and/or digoxin level ... assessment suggests total ... Revascularization, treatment ... #HeartFailure #Cardiology
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
has five major clinical ... Mississippi and Ohio River ... fungal stain of clinical ... • A low or normal ... glucose level,
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
glucose by the liver ... contribution of liver ... output - Acute pulmonary ... mellitus/DKA - Liver ... gluconeogenesis Liver
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 ... supplemental oxygen • Liver
Xanthoma Striatum Palmare- A 49-year-old man was referred to the metabolic clinic for evaluation of severe
the metabolic clinic ... evaluations showed a total ... Treatment with LDL ... #NEJM #clincal # ... photo #xanthoma
Sjogren's Syndrome Overview

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

Autoimmune exocrinopathy multisystemic disease
salivary ducts Clinical ... Disease: • 10%-15% Pulmonary ... , INC risk PE, Pulmonary ... vasculitis: 10%-16% Liver ... Adenocarcinoma Treatment
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 ... thyroxine was normal ... #clinical #photo ... Pembertons #sign #radiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... disease and pulmonary ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary ... #cardiology #saline
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
of prior silent pulmonary ... CSF glucose level ... Standard treatment ... T2 #MRI #Brain #clinical ... #radiology