16 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
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 ... differential #diagnosis #nephrology
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
Posterior Reversible Encephalopathy Syndrome (PRES) - Diagnosis
Clinical Features:
 • Altered mental status (Either lethargy, confusion, or
Encephalopathy Syndrome ... constant, global, and refractory ... • Autoimmune disease ... Encephalopathy #Syndrome ... #Diagnosis #Neurology
Hyponatremia - Differential Diagnosis Algorithm
Hypovolemic - Give volume
Hypervolemic (Edematous) - Look for and treat underlying cause
cirrhosis, nephrotic syndrome ... Stress, Nausea, Pulmonary ... Diseases, CNS Disease ... Algorithm #diagnosis #nephrology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary ... Syndrome - Diagnosis ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary ... #syndrome #diagnosis
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
obesity-hypoventilation syndrome ... Interstitial lung diseases ... , pulmonary edema ... AVMs, hepatopulmonary ... syndrome), intracardiac
Secondary Causes of Hypertension - Differential Diagnosis Algorithm
Hypertension - BP > 140/90 (>130/80 for DM)
Hypertensive urgency
Hypertensive urgency • Refractory ... Renal Parenchymal Diseases ... • Nephritic syndrome ... Excess: • Conn's syndrome ... HTN #Secondary #Nephrology
Causes of Peripheral Weakness without Sensory Changes - Differential Diagnosis Algorithm
No Objective Weakness
 • Cardio-pulmonary disease
Weakness • Cardio-pulmonary ... disease • Anemia ... • Endocrine Disease ... Lambert-Eaton Myasthenic Syndrome ... Peripheral #Weakness #Neurology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome ... Torsemide) • Acute pulmonary ... and nephrotic syndrome ... • Liddle syndrome ... Excretion #Diuresis #Nephrology