17 results
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... protein ≤ 2.5 g/dL: Cirrhosis ... Late Budd-Chiari syndrome ... , Massive liver ... #differential #diagnosis
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Disease (Cirrhosis ... Complications • Ascites ... Hepatopulmonary Syndrome ... • Hepatorenal Syndrom ... #diagnosis #management
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
- Differential Diagnosis ... - Hepatic: • Cirrhosis ... disease • Acute liver ... Primary biliary cholangitis ... #Differential #Diagnosis
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic ... liver disease ( ... cirrhosis or chronic ... Fitz-Hugh-Curtis syndrome
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
- Differential Diagnosis ... Non-Malignant • Fatty Liver ... • Budd-Chiari Syndrome ... • Bacterial Cholangitis ... Primary Biliary Cirrhosis
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... of portal HTN: ascites ... and hepatorenal syndrome ... portal HTN: • Ascites ... sarcoidosis) • Liver
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... Decompensation • Ascites ... • Hepatorenal Syndrome ... Portosystemic Shunt • Liver ... #diagnosis #treatment
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary Cirrhosis ... cholestasis → Cirrhosis ... /Liver failure ... PBC Signs and Symptoms ... or higher • Liver
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
- Budd-Chiari syndrome ... Liver disease ... - Cirrhosis ... - Nephrotic syndrome ... #Causes #diagnosis
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
- Differential Diagnosis ... heart failure, Liver ... cirrhosis, Nephrotic ... syndrome, Pre-eclampsia ... cholecystitis, Cholangitis