10 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 ... Alveolar-arterial oxygen gradient ... 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
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
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
Syndromes - OnePager ... Renal Syndromes ... capillaritis leading ... sparing of the lung ... diagnosis #management #treatment
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
Elevated Lactate Dehydrogenase (LDH) - Differential Diagnosis Framework

LDH is a cytoplasmic enzyme present in tissues throughout
concentrations in: RBCs ... the serum that has ... Prosthetic valves Lung ... Legionnaires disease • Pulmonary ... Pneumonia • Other lung
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
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 ... Mortality has been ... macrophages Treatment
Complications after Bariatric Surgery
Post Bariatric Intestinal Failure:
 • Severe protein malnutrition after bariatric surgery
 • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... deficiencies) Dumping Syndrome ... inuslin release leading ... excluded limb • Treatment
Pseudogout Summary - Calcium Pyrophosphate Deposition Disease (CPPD)

Pathophysiology:
Pyrophosphate produced by chondrocytes likely precipitates with calcium to
Think of the "H's ... Synovial Fluid: • WBCs ... Acute Pseudogout: Treatment ... ≥2 attacks • Long-term ... Crowned Dens Syndrome