18 results
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary ... Syndrome (HPS) ... HPS-differential ... 2. ... #hepatology #pulmonary
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Autoimmune (types 1, ... 2, 3) - Sarcoidosis ... disease (Budd-Chiari syndrome ... #Diagnosis #Differential ... #Hepatology #Cirrhosis
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
of Cirrhosis ... injury (≥ 1B) - 1 ... g/kg for 2 days ... • Hepatorenal syndrome ... #hepatology
Massive Hemoptysis - Differential Diagnosis Framework and Management
Definition: 150-600 mL over 24 hours
Differential Diagnosis:
 • Tracheobronchial:
: 1) Indications ... for Intubation 2) ... Interventions: 1) ... Bronchoscopy 2) ... #pulmonary #criticalcare
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Vascular Obstruction 1) ... including surgery 2) ... post-sinusoidal: Budd-Chiari syndrome ... portalhypertension #phtn #differential ... diagnosis #causes #hepatology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary ... diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... with or without cirrhosis ... #hepatology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
• Obstructive: Pulmonary ... Abdominal compartment syndrome ... Treatment Goals: 1) ... MAP > 60-65 2) ... #Diagnosis #criticalcare
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
> 1.1 g/dL) 1. ... disease - Cirrhosis ... Myxedema (SAAG 2 ... Causes #diagnosis #differential ... #hepatology #SAAG
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
common in APL (2- ... Imaging: CXR- pulmonary ... symptoms, or> 1 ... initiation • Differential ... APML #diagnosis #management
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
HCV RNA • R 2- ... • Cirrhosis: > ... • Gilbert's syndrome ... chemistry #diagnosis #differential ... #Hepatology #transaminitis