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The Drug-Induced Respiratory Disease Website

Philippe Camus, M.D.

Dijon, France

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Transjugular intrahepatic portosystemic shunt (TIPS)

1

VI.i Acute pulmonary hypertension

1
Last update : 21/04/2014
 
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Identify causative drugs
Diagnosing DIRD
1
Drug and radiation history
2
Drug singularity - Correct identification of the drug
3
Consistent timing of exposure v. onset of symptoms
4
Clinical, imaging, BAL, pathological pattern consistent with the specific drug
5
Careful exlusion of another cause
6
Remission of symptoms with removal of drug
7
Recurrence with rechallenge (rarely advisable)
8
Causality assessment
More detailed checklist

Publications

Acute pulmonary hypertension after transjugular intrahepatic portosystemic shunt: a potentially deadly but commonly forgotten complication.
Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates 2014;37;33-8; quiz 39-40 2014

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