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diagnosis hepatology differential liver treatment algorithm cardiology heartfailure medications product reactions table antipsychotic artificial ascites barre causes chemistry chf cirrhosis
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
and hepatorenal syndrome ... INR, bilirubin, albumin ... Post-Hepatic: • Cardiac ... • Budd Chiari syndrome ... • Cirrhosis/acute
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Production: • Albumin ... Skeletal muscle, cardiac ... Skeletal muscle, Cardiac ... intestines, White blood ... • Gilbert's syndrome
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
hepatitis - Cardiac ... thrombosis (Budd-Chiari syndrome ... Veno-occlusive disease - Acute ... cirrhosis - Nephrotic syndrome ... Differential #Diagnosis #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
Commonly Observed Laboratory Findings in Hepatic / Liver Failure - Elevated conjugated and unconjugated bilirubin -
Hypoalbuminemia - Decreased albumin ... —100-fold with acute ... chronic anemia; blood ... the hepatorenal syndrome ... LiverFailure #Hepatic #Hepatology
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
vein: Budd-chiari syndrome ... • Gilbert's syndrome ... Skeletal muscle, cardiac ... Skeletal muscle, cardiac ... intestines, white blood
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... Torsemide) • Acute ... • Bleeding • Cardiac ... Prevention of blood ... Diuresis #Nephrology #Pharmacology
Neurological Side Effects of Antipsychotic Drugs Acute dystonia - Spasm of muscles of tongue, face, neck, back
Antipsychotic Drugs Acute ... fever, unstable blood ... tremor ("rabbit syndrome ... #SideEffects #pharmacology ... #management
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
pressure: systolic blood ... (Sens. 81% for acute ... effusions). 1/5 pts w/ acute ... Consider cardiac ... heartfailure #diagnosis #management
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