21 results
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
procedure: • Median ... Vessels Thrombi ... Vessels Thrombi ... have inoperable disease ... #management
Huge LV thrombus on Echocardiogram

Patient with HF and TIA, in sinus rhythm. Heparin, followed by warfarin,
Huge LV thrombus ... after 3 months, serial ... DrRajeshG1 #LV #thrombus ... echocardiogram #POCUS ... #cardiology #a4c
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... thrombus • Digoxin ... TEE to exclude thrombus ... Fibrillation #AFib #diagnosis ... #management #cardiology
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
(chronic lung disease ... , left heart disease ... ventricular size, Right atrial ... who respond to medical ... #management #hepatology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
and Management ... blood gas (ABC) ... cirrhosis • Intra-pulmonary ... perfusion scanning or pulmonary ... no established medical
Cool echo - RV strain, McConnell sign, and CLOT IN TRANSIT!! BP is normal and pt
What's your management ... #Clinical #POCUS ... Echocardiogram #A4C ... McConnells #Sign #Pulmonary ... #Embolism #Thrombus
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... What are the next POCUS ... tests are not POCUS ... : serial blood cultures ... Echocardiogram #A4C
Antinuclear Antibodies (ANA)
ANA or Anti-NucIear Antibody refers to antibodies against antigens in the nucleus → like
microscopy and serial ... ANA ≠ Autoimmune Disease ... or scleroderma (SSc ... , Interstitial Pulmonary ... #rheumatology #diagnosis
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
life-threatening diseases ... Inflammatory eye disease ... blood retum in serial ... #differential #diagnosis ... #management #treatment
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
: Arterial (MCC-small ... Medium and large ... (SVC/IVC occlusion ... • Nonsurgical abdominal ... #management #signs