15 results
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... for Management ... ascites removed • Acute ... • Hepatorenal syndrome ... Cirrhosis #treatment #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... INR, bilirubin, albumin ... Post-Hepatic: • Cardiac ... • Cirrhosis/acute ... Diagnosis #causes #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) - Differential ... hepatitis - Cardiac ... Veno-occlusive disease - Acute ... #Gradient #Differential ... #Diagnosis #hepatology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... heart failure, acute ... anaphylaxis, release syndrome ... uw_IMresidency #Shock #Differential ... table #comparison #criticalcare
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Production: • Albumin ... Skeletal muscle, cardiac ... • Gilbert's syndrome ... chemistry #diagnosis #differential ... #Hepatology #transaminitis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Pneumothorax, Cardiac ... Abdominal compartment syndrome ... #Diagnosis #criticalcare ... algorithm #treatment #management
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
CCB, BB, BRASH syndrome ... Pneumothorax, Cardiac ... pancreatitis, low albumin ... Shock #diagnosis #differential ... guyton #curves #criticalcare
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Diagnosis and Management ... : cell count + differential ... g/dL, consider cardiac ... Ascites #Diagnosis #Management ... #Summary #Hepatology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
- ACS, AKI, acute ... lethargy, hematuria, cardiac ... with tetany or cardiac ... TLS #diagnosis #management ... #hematology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... vein: Budd-chiari syndrome ... • Gilbert's syndrome ... Skeletal muscle, cardiac ... diagnosis #algorithm #hepatology