19 results
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
arterial hypertension ... thromboembolism) 1) ... Transthoracic echocardiogram ... ventricular size, Right atrial ... ventricular septum 2)
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Noncardiac: • Pulmonary ... identify left atrial ... Cardioversion 1. ... cardioversion 2.
Systemic Sclerosis (Scleroderma)
Multi-system autoimmune disease characterized by vasculopathy and progressive fibrosis of skin and internal organs
3
calcinosis • Pulmonary ... disease), PAH (pulmonary ... arterial HTN) ... #rheumatology #diagnosis ... signs #symptoms #testing
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Hypertension 1. ... Pulmonary arterial ... arterial hypertension ... #Hypertension #PHTN ... Classification #Diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Summary A defect in arterial ... diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... cycles after right atrial ... passage • Arterial
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened ... (2) Lvef 25-30% ... (7) patient in atrial ... clinical #cardiology #a4c ... #thrombus
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... 1. ... HTN (portopulmonary ... as RAP>LAP as atrial ... clinical #pocus #a4c
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Arterial Line: ... Pulmonary Artery ... using arterial ... • PULMONARY A ... #diagnosis #criticalcare
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... days before Pulmonary ... surgery Stress Testing ... CARP, DECREASE V trials ... stratification #diagnosis
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... 1. ... to right shunt 2. ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble