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) ... HPS-differential ... Pulmonary vasculature ... #Syndrome #HPS
Pharmacological Treatment of Hepatorenal Syndrome (HRS)

Midodrine - Alpha agonist incr blood pressure incr renal perfusion pressure
Pharmacological Treatment ... of Hepatorenal ... Syndrome (HRS) ... #HepatoRenal #Syndrome ... #Nephrology #Management
Hepatorenal Syndrome Treatment
Volume expansion: 
 β€’ Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome ... Treatment Volume ... #Syndrome #Treatment ... #management #HRS ... #nephrology
Hepatopulmonary Syndrome (HPS) demonstrated on Echocardiogram Bubble Study

Intra-cardiac shunt: Bubbles appear in LA quickly (within 3
Hepatopulmonary ... Syndrome (HPS) demonstrated ... beats) Intra-pulmonary ... #HPS #Hepatopulmonary ... Study #clinical #POCUS
β–Ί
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
bronchograms (atelectasis has ... Respiratory Distress Syndrome ... submassive PE) POCUS ... #differential # ... #signs #Lung #POCUS
Hematuria in Post-Renal Transplant Patient
Prevalence up to 12% in the postrenal transplant patient
 β€’ Bacterial: Escherichia
to infections (HPV ... (Goodpasture's syndrome ... Renal #Transplant #differential ... urine #management #treatment ... #nephrology
Hepatopulmonary Syndrome - Illness Script
HPS is a pulmonary disorder of chronic liver disease characterized by a
Hepatopulmonary ... Syndrome - Illness ... the left heart TREATMENT ... only definitive treatment ... #Hepatopulmonary