Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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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) ... Alveolar-arterial ... Intrapulmonary vasodilatation ... #hepatology #pulmonary
Hepatopulmonary Syndrome
HPS - Diagnosis:
 1. Patients with liver disease
 2. Alveolar-arterial oxygen gradient (AaP02) >15 mmHg
Hepatopulmonary ... Syndrome HPS - Diagnosis ... Alveolar-arterial ... Intrapulmonary vasodilatation ... #Syndrome #diagnosis
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M
Hepatopulmonary ... consistent with intrapulmonary ... bubble #shunting #intrapulmonary ... cardiology #clinical #pocus ... #hepatology #a4c
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Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 β€’ Low PATM Can decrease first part
- Differential Diagnosis ... lungs β€’ Causes: Intrapulmonary ... pulmonary AVMs, hepatopulmonary ... syndrome), intracardiac ... shunting (eg, atrial
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
Hepatopulmonary ... PATHOPHYSIOLOGY: β€’ Intrapulmonary ... Aa gradient β€’ Intrapulmonary ... digital clubbing DIAGNOSIS ... #diagnosis #hepatology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
#2 c/w hepatopulmonary ... syndrome #1: Pulm ... as RAP>LAP as atrial ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
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