9 results
Hepatopulmonary Syndrome (HPS) Diagnosis Algorithm
Bubble echo is the first piece of the puzzle. The nail on
Hepatopulmonary ... Syndrome (HPS) Diagnosis ... Algorithm Bubble ... the dx is an A-a gradient ... #Syndrome #HPS
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
ascites albumin gradient ... (SAAG) SAAG ≥ ... Tuberculosis #SAAG ... ascites #albumin #gradient ... differential #diagnosis #algorithm
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 ... classification #Hepatopulmonary
Hypoxemia Differential Diagnosis Algorithm by A-a Gradient

Normal A-a Gradient:
 • ↓ Atmospheric pressure
 • Hypoventilation: CNS
by A-a Gradient ... Normal A-a Gradient ... compliance ↑ A-a Gradient ... #pulmonary #Aa ... #Gradient
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 ... vasodilatation HPS ... #Hepatopulmonary
Approach to the A-a Gradient
A-a gradient = PAO2 - PaO2
A-a gradient = [FiO2 x (Patm -
Approach to the A-a Gradient ... A-a gradient = ... A-a Gradient ≤ ... Pulmonary AVMs, Hepatopulmonary ... UnremarkableLab #AA
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Management Summary Paracentesis ... Serum-ascites-albumin-gradient ... (SAAG): > 1.1 g ... Summary #Hepatology #SAAG ... #paracentesis
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
Hepatopulmonary ... time = increased Aa ... gradient • Intrapulmonary ... portal HTN • Aa ... gradient ≥15 mmHg
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary ... not specific to HPS ... detects severe HPS ... 80mmHg or A-a gradient ... LizzieAbyMD #hepatopulmonary