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differential aflp ascites causes obstetrics pregnancy chemistry comparison disease gap globulin gradient hellp hematology hypertension icp interpretation lfts management obgyn
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Diagnosis High albumin ... - Alcoholic hepatitis ... Veno-occlusive disease - Acute ... fatty liver of ... #Diagnosis #hepatology
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
- Alcoholic hepatitis ... fibrosis - Acute ... fatty liver of ... #differential # ... hepatology #SAAG
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... AP, ↑INR, ↑BUN/Cr ... infiltration) Differential ... Hepatitis, Preeclampsia ... #hepatology #obstetrics
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
HTN: ascites (SAAG ... INR, bilirubin, albumin ... • Cirrhosis/acute ... metastasis • Fatty ... #hepatology
Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
and hemorrhage Acute ... Fatty Liver of ... #obstetrics #hepatitis ... #comparison #differential ... #diagnosis #icp
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
viral hepatitis ... Production: • Albumin ... #chemistry #diagnosis ... #differential # ... Hepatology #transaminitis
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4) Work-up of an Elevated Globulin Gap: •
Total Protein - Albumin ... concentration minus albumin ... Sarcoidosis) • Liver ... Gap #ProteinGap #differential ... #diagnosis #hematology
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