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diagnosis differential injury liver saag workup albumin alp cholangitis dili druginduced effusion elevation gradient hemochromatosis hepatitis hepatomegaly hypertension management pbc
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
protein ≤ 2.5 g/dL: Cirrhosis ... protein ≥ 2.5 g/dL: Heart ... failure/constrictive ... syndrome SAAG < 1.1: Biliary ... albumin #gradient #hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... - Hepatic: • Cirrhosis ... • Primary biliary ... Post-Hepatic: • Heart ... #Hepatology #causes
Ascites - Differential Diagnosis Chronic liver disease (cirrhosis or chronic hepatitis) - 80% Underlying malignancy - 10% Congestive heart
Ascites - Differential ... 10% Congestive heart ... failure - 3-5% ... , Pancreatic, Biliary ... Differential #Diagnosis #hepatology
Hepatomegaly - Differential Diagnosis Algorithm Malignant • Primary Carcinoma • Metastases • Lymphoma • Leukemia • Polycythemia
Differential Diagnosis Algorithm ... Congestive • Right Heart ... Failure • Budd-Chiari ... Biliary Cirrhosis ... #Causes #Hepatology
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary ... biliary cirrhosis ... failure (chronic ... #Differential #Hepatology ... #Cirrhosis #Causes
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 Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... and heart failure ... more than one cause ... concentration (bowel or biliary ... Differential #Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
including R heart ... failure and constrictive ... pregnancy • Primary ... biliary cirrhosis ... #hepatology
Alkaline Phosphatase (ALP) Elevation - Differential Diagnosis Algorithm ALP: - Enzymes that catalyze hydrolysis of organic phosphate
Differential Diagnosis Algorithm ... Intestine - Other causes ... - Drugs - Primary ... biliary Cholangitis ... #hepatology
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... congestionl - Heart ... disease - Cirrhosis ... carcinomatosis - Primary ... #differential #hepatology
Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
Primary Biliary ... /Liver failure ... PBC Labs: • Alkaline ... #Biliary #Cirrhosis ... diagnosis #workup #hepatology
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