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diagnosis hepatology management algorithm causes lfts criticalcare product reactions treatment acidosis aki cancer chemistry coagulation dic disseminated elevation function hepatitis
Elevated Liver Function Tests (LFTs) - Differential Diagnosis Framework Mild (<100-500): • NAFLD • Cirrhosis •
Hepatopathy • Acute ... injury) • Ischemic ... Hepatopathy (shock ... #Diagnosis #hepatology ... #transaminitis
Shock Classification and Differential Diagnosis SHOCK • MAP <65, SBP <90, drop in SBP > 40 •
Shock Classification ... / Low SVR • Sepsis ... Insufficiency, Liver ... Medications, Spinal Cord Injury ... 6, CVP < 8 • Blood
Causes of Acute Liver Injury - Differential Diagnosis Hepatocellular - Liver Parenchyma • Infectious: Hepatitis C, A,
Liver Injury - Differential ... Hepatic Artery: Shock ... • Infectious: Sepsis ... #Injury #Differential ... #algorithm #hepatology
Patterns of Liver Injury Transaminase Levels: > 50x normal - Ischemic Hepatitis > 20x normal
Patterns of Liver ... > 20x normal - Acute ... #Injury #hepatology ... #LFTs #transaminitis ... #differential #
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... - Differential ... Hepatic artery: Shock ... VZV • Trauma: Shock ... intestines, white blood
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Mixed - Check Acute ... injury < 26 weeks ... intestines, White blood ... chemistry #diagnosis #differential ... #Hepatology #transaminitis
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Shock - Differential ... Distributive: Sepsis ... Insufficiency, Liver ... Medications, Spinal Cord Injury ... • Hypovolemic: Blood
Acute Kidney Injury (AKI) in Patients with Cancer Cancer Related • Hypercalcemia • Intravenous contrast •
Acute Kidney Injury ... change disease • Hematologic ... Treatment Related • Sepsis ... Cancer #Oncology #Differential ... #Diagnosis #Classification
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... removal from the blood ... or renal injury ... Injury: • Reduced ... #typea #typeb #classification
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
malignancy (Especially acute ... ABO incompatible blood ... dysfunction (16%) • Shock ... DIC • Severe Liver ... treatment #management #hematology
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