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diagnosis hepatology differential treatment algorithm blood injury product reactions rheumatology table aki artificial ascites cardiology causes chemistry chf cirrhosis clinical
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
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Production: • Albumin ... Skeletal muscle, cardiac ... Skeletal muscle, Cardiac ... • Gilbert's syndrome ... #differential #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 ... • Cirrhosis/acute ... sarcoidosis) • Liver
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
hepatitis - Cardiac ... ascites - Massive liver ... thrombosis (Budd-Chiari syndrome ... Veno-occlusive disease - Acute ... fatty liver of
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... vein: Budd-chiari syndrome ... • Gilbert's syndrome ... Skeletal muscle, cardiac ... Skeletal muscle, cardiac
Commonly Observed Laboratory Findings in Hepatic / Liver Failure - Elevated conjugated and unconjugated bilirubin -
Hypoalbuminemia - Decreased albumin ... —100-fold with acute ... liver failure; ... the hepatorenal syndrome ... LiverFailure #Hepatic #Hepatology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... Torsemide) • Acute ... hyperaldosteronism • Acute ... • Bleeding • Cardiac ... Diuresis #Nephrology #Pharmacology
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
Artificial Liver Support Systems Bridge between transplantation to allow a patient's liver to recover When used: Acute liver
recover When used: Acute ... Acute-on-chronic ... 2) Single-Pass Albumin ... Support #Systems #hepatology ... #management
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... (AKI) - Management ... • Hepatorenal syndrome ... Treat underlying liver ... + midodrine + albumin
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