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Pulmonary Renal Syndrome: Investigations and Management

#Pulmonary #Renal #Syndrome #Diagnosis #Workup #Management
Pulmonary Renal ... Syndrome: Investigations ... and Management ... #Pulmonary #Renal ... #Workup #Management
Pulmonary Renal Syndromes and Mimics - Differential Diagnosis Framework
Diffuse alveolar hemorrhage + rapidly progressive glomerulonephritis
90%:
 -
Pulmonary Renal ... Syndromes and Mimics ... Vasculitis - Normal ... Kumfer @AnnKumfer #Pulmonary ... #Renal #Syndromes
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
• Heart size: Normal ... ECHO: • Normal ... chamber size • Normal ... respiratory distress syndrome ... differential #diagnosis #cardiology
Normal Hemodynamic Cardiac Parameters

Central Venous Pressure 

Pulmonary Artery Wedge Pressure 

Cardiac Index 

Stroke Index 

Systemic Vascular
Normal Hemodynamic ... Venous Pressure Pulmonary ... Resistance Index Pulmonary ... Parameters #Pressures #Normal ... #Cardiology #Diagnosis
Complications of Portal Hypertension
 • Hepatic Encephalopathy
 • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 •
Complications of Portal ... Encephalopathy • Pulmonary ... Hepatopulmonary syndrome ... Renal: Hepatorenal syndrome ... @drkeithsiau #Portal
Figure 3 HRCT-LUS correlation in normal lung, pulmonary congestion, rheumatoid lung disease, idiopathic pulmonary fibrosis.
Notes: (A)
correlation in normal ... lung, pulmonary ... due to alveolar syndrome ... fibrotic alveolar syndrome ... #Clinical #Diagnosis
Right Heart Catheterization Waveforms and Pressures
Right Atrial Pressure:
 • Mean: 1-5 mm Hg
Right Ventricular Pressure:
 •
Diastolic: 1-7 mm Hg Pulmonary-Artery ... Mean: 9-19 mm Hg Pulmonary-Capillary ... Wedge Pressure • Normal ... Waveforms #Pressures #normal ... wedge #diagnosis #cardiology
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... specific for a critical ... presentation • Normal ... intervention #Wellens #Syndrome ... Classification #Types #Cardiology
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
consolidation is pulmonary ... may still have a normal ... a superimposed pulmonay ... #Diagnosis #Radiology ... #Pulmonary #CXR
Pulmonary Artery Catheter Pressures
Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2
HFrEF,
Pulmonary Artery ... Catheter Pressures Normal ... decompensated Pulmonary ... @ucsdim #PA #Pulmonary ... #Hemodynamics #Cardiology