38 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
Sarcoidosis
Stage 1 - Bilateral LAD without involvement of lung parenchyma
Stage 2 - Bilateral LAD with involvement
4 - Fibrosis Pulmonary ... chylothorax, and pulmonary ... sarcoid Lofgren Syndrome ... gland sweling, fever ... Stages #Staging #Signs
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... Decompensated CHF ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... Dehydration Shock Treatment
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
• Diffuse Lung ... Respiratory Distress Syndrome ... • Chronic Lung ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology
Approach to Eosinophilic Lung Diseases
 • Acute Eosinophilic Pneumonia (< 1 wk) - ~30yo, M; Recent
to Eosinophilic Lung ... Hx of asthma, CF ... Hypereosinophilic Syndrome ... #Eosinophilic #Lung ... #Diseases #pulmonary
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
Macrophage Activation Syndrome ... syndromes Clinical ... rash) • Heart, lung ... Treatment: • Corticosteroids ... Diagnosis #Management #Hematology
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
: 33% • Treatment ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... : No • Treatment ... Transfusion #Reactions #hematology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... absence of intrinsic lung ... on radioactive lung ... ) on room air Treatment ... #hepatology
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Differentiation Syndrome ... Triggers: ATRA treatment ... Imaging: CXR- pulmonary ... sepsis), PE, DAH, CHF ... Renal Failure Treatment
Nontuberculous Mycobacteria (NTM) Infections 

Mycobacterial species other than those belonging to the Mycobacterium tuberculosis complex and
Illnesses: • Pulmonary ... Lady Windermere Syndrome ... : • Syndrome of ... massiliense in CF ... complicate MAC pulmonary