13 results
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... those with CLD (± cirrhosis ... underlying liver disease ... Lung Failure ... #Cirrhosis #Hepatology
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
IgG4-Related Disease ... biliary, renal, lung ... concentration PET-CT ... hypergammaglobulinemia, ↑ acute ... #diagnosis #management
Acute Respiratory Distress Syndrome – ARDS: Clinical Cheat Sheet

An acute diffuse, inflammatory lung injury, leading to
, inflammatory lung ... permeability, lung ... with decreased lung ... be detected on CT ... overload with heart failure
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Nutrition in Cirrhosis ... Anthropometry, CT ... pattern (avoiding long ... detrimental effect of long ... #diet #management
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Heart failure with ... : weight gain, lung ... HFrEF may lack lung ... coronary artery disease ... heartfailure #diagnosis #management
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
in obstructive lung ... neuromuscular disease ... COPD) • Other acute ... respiratory failure ... #criticalcare #management
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
patients with chronic lung ... exercise, after acute ... decompensated heart failure ... #Medications #management ... #treatment #comparison
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... , Pancreas, Gastric ... Culture (+): Acute ... New-onset Heart Failure ... Endocarditis #diagnosis #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
(DAH) & renal failure ... Other tests: • CT ... sparing of the lung ... seen on chest CT ... differential #diagnosis #management
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
, verrucous) - Lung ... , Pancreas, Gastric ... Culture Positive: • Acute ... New-onset heart failure ... symptomatic heart failure