McMurrays classification grading pulmonary lung hepatopulmonary cxr arterial phtn alveolar

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Hepatopulmonary Syndrome (HPS)

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients

Hepatopulmonary ... Diseases of the lung ... Alveolar-arterial ... oxygen gradient ... HPS-severity classification

Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -

• Alveolar Hypoventilation ... AVMs, Hepatopulmonary ... Embolism, Obstructive Lung ... , Interstitial Lung ... #alveolar #arterial

Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a

Hepatopulmonary ... leads to impaired arterial ... = increased Aa gradient ... presence in the lower lung ... • Aa gradient

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