81 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 (HPS) ... Pulmonary vasculature ... Diseases of the ... #Syndrome #HPS
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver Disease ... Carcinoma (HCC) • Hepatopulmonary ... Syndrome (HPS) ... • Hepatorenal Syndrom
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary ... Syndrome (HPS) Diagnosis ... Themis_Kourk #Hepatopulmonary ... #Syndrome #HPS ... Algorithm #hepatology #pulmonary
Hepatopulmonary Syndrome
HPS - Diagnosis:
 1. Patients with liver disease
 2. Alveolar-arterial oxygen gradient (AaP02) >15 mmHg
Hepatopulmonary ... Syndrome HPS - Diagnosis ... Patients with liver disease ... 50 mmHg #HPS #Hepatopulmonary ... #Syndrome #diagnosis
Complications of Portal Hypertension
 • Hepatic Encephalopathy
 • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 •
Encephalopathy • Pulmonary ... : Hepatopulmonary ... syndrome, Portopulmonary ... Renal: Hepatorenal syndrome
Behcet's Syndrome - Treatment
Ulcers:
 • Treatment: Topical steroids
 • Prevention: Colchicine
 • Azathioprine for refractory disease
Arthritis:
Behcet's Syndrome ... Azathioprine for refractory ... inhibitors for refractory ... Prednisone for refractory ... #Syndrome #Treatment
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Hypoventilation Syndrome ... AVMs, Hepatopulmonary ... Syndrome - ... Obstructive Lung Disease ... , Interstitial Disease
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
- Tamponade Pulmonary ... Vasculature: - PE - Pulmonary ... Vasculitis - Hepatopulmonary ... syndrome Other ... diagnosis #causes #pulmonary
Cystic Lung Disease
Upper Lobe Predominant: 
Langerhans Cell Histiocytosis, Pneumocystis Jiroveci, Hypersensitivity Pneumonitis, Neurofibromatosis Type 1, Paracoccidioidomycosis,
Ehlers-danlos Syndrome ... Amyloidosis, Proteus Syndrome ... (LCDD), Cystic Pulmonary ... Birt-Hogg-Dubé Syndrome ... Bronchiolitis, Pulmonary
Pulmonary Renal Syndrome

Definition: Diffuse alveolar hemorrhage + Glomerulonephritis
Presentation (Pulmonary and renal manifestations can occur weeks apart):
Pulmonary Renal ... Syndrome Definition ... Presentation (Pulmonary ... Renal Syndromes ... #Renal #Syndrome