86 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) ... HPS-differential ... Alveolar-arterial oxygen gradient ... #Syndrome #HPS
Hepatopulmonary Syndrome
HPS - Diagnosis:
 1. Patients with liver disease
 2. Alveolar-arterial oxygen gradient (AaP02) >15 mmHg
Hepatopulmonary ... Syndrome HPS - Diagnosis ... Alveolar-arterial oxygen gradient ... #Syndrome #diagnosis ... #management #classification
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary ... Syndrome (HPS) Diagnosis ... the dx is an A-a gradient ... Themis_Kourk #Hepatopulmonary ... #Syndrome #HPS
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
A-a gradient = ... Hypoventilation Syndrome ... Pulmonary AVMs, Hepatopulmonary ... Syndrome - ... Hypoxia #hypoxemia #differential
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Carcinoma (HCC) • Hepatopulmonary ... Syndrome (HPS) ... • Hepatorenal Syndrom ... Complications #diagnosis #management
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
ascites albumin gradient ... Late Budd-Chiari syndrome ... leak, Nephrotic syndrome ... ascites #albumin #gradient ... #hepatology #differential
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
Ascites Differential ... Ascites Albumin Gradient ... • Nephrotic syndrome ... MatthewHoMD #Ascites #Differential ... Serum #Albumin #Gradient
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... Vasculitis - Hepatopulmonary ... syndrome Other ... #dyspnea #sob #differential
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary ... Syndrome - Diagnosis ... 80mmHg or A-a gradient ... LizzieAbyMD #hepatopulmonary ... #syndrome #diagnosis
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
Respiratory Failure - Differential ... obesity-hypoventilation syndrome ... gravity-dependent gradients ... pulmonary AVMs, hepatopulmonary ... syndrome), intracardiac