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Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... Clinical Presentation ... with or without cirrhosis ... • Intra-pulmonary
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
a triad of: 1) ... 2) pulmonary vascular ... of orthodeoxia CLINICAL ... dilatations - contrast-enhanced ... mortality rate of ~12%
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
with end-stage liver ... disease and pulmonary ... extra-cardiac shunt in cirrhosis ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
duration is 6 to 12 ... five major clinical ... forms: 1) Rhinocerebral ... 2) Pulmonary ... , neutropenia, cirrhosis
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
/50 Rule (part 1) ... and second ribs.1 ... /50 Rule (part 2) ... seen on a CXR.2 ... bleeding often from a liver