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diagnosis cirrhosis treatment aflp arterial biliary cholangitis coagulation dic disseminated embolism fatty hepatic hepatopulmonary hps hydrothorax hypertension indications intravascular obgyn
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... for Management ... of ascites removed ... • Spontaneous Bacteria ... Cirrhosis #treatment #hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial ... Ascites PMN > ... response Give IV albumin ... dysfunction or liver ... #hepatology
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... Liver disease ... Infections - Bacterial ... #differential # ... hepatology #SAAG
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... of portal HTN: ascites ... portal HTN: • Ascites ... INR, bilirubin, albumin ... #hepatology
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
Pregnancy (AFLP) Pathophysiology ... = nonspecific (nausea ... develops (DIC, ascites ... infiltration) Differential ... #Pregnancy #hepatology
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework VENOUS THROMBOSIS • Acquired Risk Factors: - >48 hours
Thrombosis - Differential ... Syndrome, Ischemic Liver ... coagulation and other causes ... #pathophysiology ... #hematology #differential
Hepatic Hydrothorax • Presents as right sided in 85% of cases • Fluid studies:
Serum-to-pleural fluid albumin ... • Spontaneous bacterial ... may develop • Management ... TIPS, Liver transplant ... Hydrothorax #diagnosis #hepatology
Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
65 years PBC Pathophysiology ... intralobular bile ducts causes ... bile ducts Differential ... Hepatic amyloidosis, Bacterial ... diagnosis #workup #hepatology
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
protein C and S Pathophysiology ... DIC • Severe Liver ... Treat primary cause ... #treatment #management ... #hematology
Hepatopulmonary Syndrome - Illness Script HPS is a pulmonary disorder of chronic liver disease characterized by a
abnormalities PATHOPHYSIOLOGY ... leads to impaired arterial ... arteriovenous shunting causes ... cirrhosis: jaundice, ascites ... cirrhosis #diagnosis #hepatology
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