Portopulmonary hypertension is an important pulmonary vascular complication of portal hypertension and advanced liver disease. In this episode, we review the pathophysiology, clinical presentation, diagnostic evaluation, hemodynamic criteria, and treatment of portopulmonary hypertension. Topics covered include: • What portopulmonary hypertension is • The relationship between portal hypertension and pulmonary arterial hypertension • Pathophysiology of pulmonary vascular remodeling • Clinical presentation and symptoms • Screening with transthoracic echocardiography • Right heart catheterization and diagnostic confirmation • Hemodynamic criteria for diagnosis • Differentiating portopulmonary hypertension from hepatopulmonary syndrome • Severity assessment and risk stratification • Pulmonary vasodilator therapy • Oxygen, diuretics, and supportive care • Liver transplantation considerations • Practical clinical considerations in advanced liver disease Watch the full video on YouTube:https://www.youtube.com/watch?v=e02CbywSFQM 📚 Join the WhiteBoard Medicine Patreon Community https://www.patreon.com/WhiteBoardMedicine Join a growing emergency medicine, critical care, and resuscitation education community built around high-yield clinical learning. Patreon members get access to: • Comprehensive Study Guides • Bedside One-Pagers • Clinical Reviews • Mini-Courses • Practice Questions • Ad-Free Videos • Structured Topic Collections 🌐 WhiteBoard Medicine Website Explore our growing library of critical care and emergency medicine content: https://www.whiteboardmedicine.com ⚠️ Educational Disclaimer: This content is intended for educational purposes only and should not be used as a substitute for clinical judgment, institutional protocols, specialist consultation, or individualized patient care. Full disclaimer: https://whiteboardmedicine.com/disclaimer

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“What did the council decide on item 42?” — answered with the speaker and the moment.

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