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Bacterial infections in cirrhosis SBP (7 - 31%), urinary (12 - 29%) pulmonary infections (6 - 21%) and bacteremia (10 - 12%) The most severe (mortality): pulmonary (30 à 41%) and SBP (20 à 30
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Signs and symptoms of circulatory overload Dyspnea Orthopnea Cyanosis Tachy Signs and symptoms of circulatory overload Dyspnea Orthopnea Cyanosis Tachycardia Increased blood pressure Pulmonary/pedal edema
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Pulmonary Function Testing Pulmonary Function Testing
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Myocardial Infarction Unstable Angina. Cardiac markers in circulation indicates myocardial infarction and help categorize MI and is a useful adjunct to diagnosis
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Upper Airway Obstruction High WBC count with left shift suggest bacterial superinfection . X-ray of Neck “Steeple sign” Chest Xray Airtrapping pulmonary infitrate
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Congenital Diaphragmatic Hernia Goal: stabilize patient until definitive surgical repair Pulmonary vasodilators: inhaled nitric oxide Inotropes, systemic vasoconstrictors: dobutamine, dopamine, epinephrine
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