15: CTEPH? But the Lung Scan Is Normal!

Oct 30, 2020 by in Uncategorized Comments Off on 15: CTEPH? But the Lung Scan Is Normal!

Figure 15.1 CT angiogram imaging the proximal pulmonary vessels (a), progressing down to the lower lobe arteries (b–d). Lining thrombus is noted throughout the proximal vessels, which does not extend…

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Diuretic Resistance in a Patient with Acute Heart Failure

Oct 30, 2020 by in Uncategorized Comments Off on Diuretic Resistance in a Patient with Acute Heart Failure

Na = sodium; eGFR = estimated glomerular filtration rate, BSA = body surface area, Cr Serum = serum creatinine; Cr Urine = urine creatinine; h = hours; Na Urine = urinary sodium concentration Predicted sodium output using this equation has a strong correlation with…

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Patient with Abdominal Congestion

Oct 30, 2020 by in Uncategorized Comments Off on Patient with Abdominal Congestion

Fig. 13.1 Transvesical method for measuring intra-abdominal pressure. (Adapted from Mullens with permission) Pathophysiology of Abdominal Congestion Leading to Kidney Dysfunction Abdominal Venous Congestion WRF often complicates the trajectory of…

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Congestion: When to Use Ultrafiltration?

Oct 30, 2020 by in Uncategorized Comments Off on Congestion: When to Use Ultrafiltration?

Fig. 18.1 Pathophysiology of congestion. Abbreviations: RV right ventricular, RA right atrial, PA pulmonary artery, PCWP pulmonary capillary wedge pressure, LA left atrial, LV left ventricular, LVDP left ventricular diastolic…

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on Diuretic Therapy from Clinical and Pharmacologic Perspectives

Oct 30, 2020 by in Uncategorized Comments Off on on Diuretic Therapy from Clinical and Pharmacologic Perspectives

Loop diuretics Hypersensitivity reactions Extracellular fluid volume depletion Hypokalemic alkalosis Hypomagnesemia∗ Ototoxicity Distal convoluted tubule diuretics Hypersensitivity reactions Hyponatremia Hypokalemic alkalosis hyperglycemia/diabetes hyperuricemia/gout Hypomagnesemia Hypokalemia and prerenal azotemia, when combined…

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