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 ... and diaphragm HPS-diagnosis ... Alveolar-arterial ... Hepatopulmonary #Syndrome ... #HPS #hepatology
 End Stage Liver Disease (Cirrhosis) - Complications 
 β€’ Ascites
 β€’ Esophageal Varices
 β€’ Hepatic
Hepatopulmonary Syndrome ... (HPS) β€’ Hepatorenal ... Syndrom (HRS) ... Complications #diagnosis ... management #summary #hepatology
Hepatopulmonary Syndrome
HPS - Diagnosis:
 1. Patients with liver disease
 2. Alveolar-arterial oxygen gradient (AaP02) >15 mmHg
Hepatopulmonary Syndrome ... HPS - Diagnosis ... Alveolar-arterial ... Hepatopulmonary #Syndrome ... #diagnosis #management
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 β€’ ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... #Hepatorenal #Syndrome ... #diagnosis #HRSAKI ... #HRSNAKI #hepatology
Bleeding risk calculators - HAS-BLED (atrial fibrillation) and IMPROVE (VTE prophylaxis for inpatients)
Important notes:
 β€’ No
calculators - HAS-BLED ... (atrial fibrillation ... prophylaxis and atrial ... Anticoagulation #Factors #Hematology ... #Diagnosis
Algorithm for workup of thrombocytopenia based on observation of the peripheral blood film. 
TTP/HUS indicates thrombotic
TTP/HUS indicates ... hemolytic uremic syndrome ... thrombocytopenia, Hematology ... 2012, p 193 #Diagnosis
Differential diagnosis of schistocytes / fragmentation hemolysis:
 β€’ Thrombotic microangiopathies (TMA)
    - TTP
Differential diagnosis ... hemolytic-uremic syndrome ... anemia" β€’ HELLP syndrome ... #differential #diagnosis ... #hematology #hemolysis
Antiphospholipid Syndrome (APS)
APS is a rare autoimmune disorder characterized by recurring blood clots resulting from antibodies
Antiphospholipid Syndrome ... patients to be diagnosed ... an arterial/venous ... Antiphospholipid #Syndrome ... #APS #diagnosis
Approach to the Hypercoagulable State
Arterial thromboembolism
β†’ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
β†’ Test for APS, particularly
Hypercoagulable State Arterial ... risk actor for arterial ... Hypercoagulable #Workup #hematology ... #diagnosis #algorithm ... #hematology #VTE
2019 EULAR recommendations for thrombosis in (Antiphospholipid Syndrome) APS
Venous Thrombosis - Arterial Thrombosis
INR Target
Duration
Recurrence

Dr. Laurent ARNAUD
Antiphospholipid Syndrome ... - Arterial Thrombosis ... Antiphospholipid #Syndrome ... #APS #management ... #hematology #treatment