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Disorders of the Hepatic and Mesenteric Circulation

Platelets in Cirrhosis
Hypercoagulability in Cirrhosis
Bleeding in Cirrhosis
Portal Vein Thrombosis (PVT)
Mesenteric
Platelets in Cirrhosis ... ) Budd Chiari Syndrome ... Circulation #Disorders #Hepatology ... #Gastroenterology ... #diagnosis #Management
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... of Cirrhosis and ... Algorithm Ascites Management ... #gastroenterology ... #hepatology
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Liver Disease (Cirrhosis ... Hepatopulmonary Syndrome ... • Hepatorenal Syndrom ... Complications #diagnosis #management ... #summary #hepatology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... those with CLD (± cirrhosis ... Liver #Failure #Cirrhosis ... #Hepatology #gastroenterology ... #management #diagnosis
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... of Cirrhosis ... ascites removed • Acute ... • Hepatorenal syndrome ... #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
and hepatorenal syndrome ... Post-Hepatic: • Cardiac ... • Budd Chiari syndrome ... /acute hepatitis ... Diagnosis #causes #hepatology
Acute coronary syndrome: Assessment of acute chest pain of suspected cardiac origin #Management #EM #Student #ACS
Acute coronary syndrome ... Assessment of acute ... pain of suspected cardiac ... origin #Management
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
Hepatorenal Syndrome ... Criteria HRS-AKI (Acute ... HRS-NAKI (Non-Acute ... #Hepatorenal #Syndrome ... HRSAKI #HRSNAKI #hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
- Hepatic: • Cirrhosis ... Infiltrative disease • Acute ... • Budd-Chiari syndrome ... • Nephrotic syndrome ... Diagnosis #Algorithm #Hepatology
Causes of Hyponatremia - Differential Diagnosis Algorithm
Hypovolemia, UNa > 20: 
 • Renal losses, Diuretic excess,
Cerebral salt wasting syndrome ... Stress, Drugs, Syndrome ... UNa > 20: • Acute ... • Nephrotic syndrome ... , Cirrhosis, Cardiac