15 results
Complications of Portal Hypertension
 • Hepatic Encephalopathy
 • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 •
Encephalopathy • Pulmonary ... : Hepatopulmonary ... syndrome, Portopulmonary ... Complications #hepatology ... #diagnosis
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 (HPS) ... Pulmonary vasculature ... #Syndrome #HPS ... #hepatology #pulmonary
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary ... Syndrome (HPS) Diagnosis ... #Syndrome #HPS ... #Diagnosis #Algorithm ... #hepatology #pulmonary
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Differential Diagnosis ... Vasculitis - Hepatopulmonary ... syndrome Other ... Transverse myelitis • Hematology ... #differential #diagnosis
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
/0.8)] - PaO2 Normal ... A-a gradient to normal ... AVMs, Hepatopulmonary ... Syndrome - ... #differential #diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary ... Syndrome - Diagnosis ... cirrhosis • Intra-pulmonary ... #syndrome #diagnosis ... management #treatment #hepatology
Dilated Abdominal Veins and Caput Medusae - Direction of Blood Flow

Vein Milking technique can be used
Normal veins ... : The normal physiology ... #Blood #Flow #physicalexam ... #diagnosis #hepatology ... #obstruction #comparison
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Hepatic imaging: Normal ... necrosis HELLP Syndrome ... Disease #Pregnancy #hepatology ... obstetrics #hepatitis #comparison ... #differential #diagnosis
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
Differentiation Syndrome ... Imaging: CXR- pulmonary ... 500 mg QD until normal ... Differentiation #Syndrome ... #management #hematology
Inherited Qualitative Platelet Defects
Bernard-Soulier Syndrome
 • Defect of adhesion due to a lack of GP Ib/IX/V
Bernard-Soulier Syndrome ... receptor] • Normal ... Platelet #Defects #comparison ... #differential #diagnosis ... #hematology