39 results
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
(HPS) HPS-differential ... Pulmonary vasculature ... Alveolar-arterial ... Syndrome #HPS #hepatology ... #pulmonary #diagnosis
Appearance of Liver Lesions on Various Imaging Modalities
 • Computed Tomography (CT) - Arterial Phase, Portal
Tomography (CT) - Arterial ... portal venous, T1 arterial ... Ultrasound - Early arterial ... Grayscale phase, Late arterial ... #diagnosis #comparison
Degenerated Left Atrial Myxoma on Echocardiogram (PLAX)
A 68-year-old gentleman with progressive shortness of breath and cystic
Degenerated Left Atrial ... Final diagnosis ... was degenerated LA ... #Degenerated #Atrial ... #cardiology #pocus
Antiphospholipid Syndrome (APS)
APS is a rare autoimmune disorder characterized by recurring blood clots resulting from antibodies
anticoagulant (LA ... at least: • 1 clinical ... confirmed venous, arterial ... patient has an arterial ... #management #anticoagulation
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... Activate cath lab ... Pulmonary embolism ... Echocardiogram #A4c #clinical
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Summary A defect in arterial ... shunt (Type 2) Clinical ... cycles after right atrial ... passage • Arterial ... #hepatology
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Hypertension Presence of pulmonary ... arterial hypertension ... ventricular size, Right atrial ... pressure, Pulmonary ... #management #hepatology
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Clinical Classification ... Pulmonary arterial ... arterial hypertension ... Classification #Diagnosis ... #Differential #
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
UnremarkableLab #AA ... Gradient #alveolar #arterial ... #pulmonary #Hypoxia ... #hypoxemia #differential ... #diagnosis
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
• Triggers: ATRA ... Imaging: CXR- pulmonary ... initiation • Differential ... fluid overload, PCC ... #management #hematology