Cirrhotic Patients with Shortness of Breath

In this video, David Goldberg, MD, presents three case reports to illustrate the complexities of managing the cirrhotic patient with dyspnea. Each case presents an overview of the physical issues typical of cirrhosis, including pleural effusion (hepatic hydrothorax), ascites, platypnea, respiratory alkalosis, hypoxemia, hepatopulmonary syndrome (HPS), and portopulmonary hypotension. Dr Goldberg’s discussion also delves into diagnostic modalities and approaches, differential diagnoses, treatments when applicable (HPS is untreatable) and precautions.

Related Links:
Management of Hepatocellular Carcinoma
Dr Goldberg’s Profile

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