14 results
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial effusion ... velocity of 9.5 cm/sec ... expiration not meeting diagnostic ... Echocardiogram #a4c
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Arterial blood gas (ABC ... 10 minutes of rest ... scanning or pulmonary ... ) on room air Treatment ... #management #treatment
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
PPHTN • Peak tricuspid ... m/s • Other signs ... pressure < 15mmHg TREATMENT ... guanylate cyclase (sGC ... #management #hepatology
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
: conjunctival suffusion ... failure • Severe pulmonary ... disease ARDS Diagnosis ... agglutination - test ... #treatment #management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
splitting of S2, S3, tricuspid ... regurgitation) Diagnosis ... • Ventilation-perfusion ... Bypass Other Treatment ... #management
Myasthenia Gravis Overview

Myasthenia Gravis is an autoimmune disorder of the postsynaptic neuromuscular junction.  Ab to
Paraneoplastic effects of SCC ... /Edrophonium test ... - Cogan sign ... - Peek sign 2. ... #management #neurology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
multiplex WORKUP & DIAGNOSIS ... anti-GBM) Other tests ... LVEF, pericardial effusion ... #differential #diagnosis ... #management #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of poor perfusion ... Signs of congestion ... with presence of pulmonary ... Adequate perfusion ... #algorithm #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Full Set of Vital Signs ... Consider IL NS/LR infusion ... Tamponade - Pulmonary ... #criticalcare #treatment
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Venous disease (SVC ... Positive pathergy test ... is a skin prick test ... Arthritis, AS Treatment ... #management #signs