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clinical echocardiogram a4c cardiology hepatology management bubble hepatopulmonary pocus treatment 1: amyloid amyloidosis differential doubleshunt effect emergencies hemeonc hyperkalemia hypertension
Hepatopulmonary Syndrome on Echocardiogram (A4C) Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Hepatopulmonary Syndrome ... Echocardiogram (A4C ... demonstrated by contrast ... visualized in the left atrium ... Echocardiogram #A4C
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 Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... to right shunt 2. ... Effect #Right #Atrium ... echocardiogram #s4c
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 Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... anatomic shunt (Type 2) ... cycles after right atrial ... blood gas (ABC) ... 10 minutes of rest
Portopulmonary Hypertension Presence of pulmonary arterial hypertension in a patient with portal hypertension No other obvious causes (chronic
PPHTN • Peak tricuspid ... ventricular size, Right atrial ... ventricular septum 2) ... guanylate cyclase (sGC ... directly stimualtes sGC
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram (1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... spontaneous echo contrast ... (7) patient in atrial ... clinical #cardiology #a4c
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 Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
on this saline contrast ... bubbles = PFO 2. ... syndrome #1: Pulm ... as RAP>LAP as atrial ... clinical #pocus #a4c
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 Amyloidosis - Summary Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Clinical suspicion 2. ... : • Nephrotic syndrome ... Carpal tunnel syndrome ... Persistent pleural effusions ... disproportionate atrial
Summary of Oncologic Emergencies Neutropenic fever: - Fever + ANC < 500 → start cefepime ± vancomycin (if
decompression SVC ... 200–300 mL/h) 2. ... CAR-T day 3–10; 2– ... , SOB, pleural effusions ... Oncology #HemeOnc #Diagnosis
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
diuretics, Saline infusion ... Cortisol+ACTH stim test ... Treatments: • Calcium 2- ... 10U reg IV + 1-2 ... Terbutaline 7 µg/kg SC
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