Albert is a 67 yo man with severe emphysema.
Life in the fast lane rvsp.
Life in the fast lane review of pericarditis while there are many causes of pericarditis this patient has several underlying risk factors including chest trauma surgery and possible infection secondary to limited sterility in the emergency setting.
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Alp is particularly concentrated in the liver bile duct and bone tissues alp is often raised in liver pathology due to increased synthesis in response to.
He is on home oxygen for this and has been using oral viagra with some success in the last few months.
Sono cpd have created a free foamed course on ultrasound guided vascular access.
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Mean pap can be approximated because papm 0 61 spap 2.
Alt is found in high concentrations within hepatocytes and enters the blood following hepatocellular injury it is therefore a useful marker of hepatocellular injury.
He has been worked over by the tertiary respiratory team and they have diagnosed him with severe pulmonary hypertension with rvsp off the chart.
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The remodeling of the right ventricle that happens with chronic pulmonary hypertension can produce rvsp greater than 60mmhg the first 60 so values less than 60 are probably from an acute process.
He usually runs a low bp of around 100 systolic.
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A systolic pap of 30 mm hg typically implies a mean pap more than 20 mm hg i e.
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