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diagnosis differential hepatology hepatopulmonary management hps pocus profiles ultrasound aa amiodarone arterial bronchiectasis cirrhosis clinical copd fev1fvc gold2017 gradient hypoxemia
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 ... Diseases of the lung ... Alveolar-arterial ... oxygen gradient ... HPS-severity classification
GOLD2017 - The refined ABCD assessment tool. FEV1: forced expiratory volume in 1 s; FVC: forced vital
- The refined ABCD ... Chronic Obstructive Lung ... #Diagnosis #Pulmonary ... GOLD2017 #Staging #Grading ... #Classification
Approach to the A-a Gradient A-a gradient = PAO2 - PaO2 A-a gradient = [FiO2 x (Patm -
• Alveolar Hypoventilation ... Hypoventilation Syndrome ... Hepatopulmonary Syndrome ... , Interstitial Lung ... #alveolar #arterial
ABCs of Lung Ultrasound - A-Lines, B-Lines, Consolidation A-Profile - Air filled lung does not transmit sound
ABCs of Lung Ultrasound ... transmit sound waves, leading ... C-Profile - Filled alveoli ... IMPOCUSFocus #ABCs ... Differential #Diagnosis #pulmonary
Pulmonary Renal Syndromes - OnePager Summary Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... capillaritis leading ... to diffuse alveolar ... sparing of the lung ... diagnosis #management #treatment
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... absence of intrinsic lung ... Arterial blood gas (ABC ... on radioactive lung ... 80mmHg or A-a gradient
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
• Mounier-Kuhn syndrome ... dyskinesia • Young syndrome ... in the adjacent lung ... of the affected lung ... mycobacteria Treatment
ABCs of Lung Ultrasound - A-Lines, B-Lines, Consolidation A-Profile - Air filled lung does not transmit sound
ABCs of Lung Ultrasound ... transmit sound waves, leading ... C-Profile - Filled alveoli ... IMPOCUSFocus #ABCs ... Diagnosis #clinical #pulmonary
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 Amiodarone Induced Lung Toxicity Summary Who? • 5% of patients • Dose ≥ 400 mg per day How? Possible
Amiodarone Induced Lung ... starting amiodarone treatment ... respiratory distress syndrome ... macrophages in alveolar ... macrophages Treatment
Hepatopulmonary Syndrome - Illness Script HPS is a pulmonary disorder of chronic liver disease characterized by a
= increased Aa gradient ... presence in the lower lung ... portal HTN • Aa gradient ... the left heart TREATMENT ... only definitive treatment
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