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hepatology algorithm treatment causes saag summary albumin cholangitis classification fungal gastroenterology gradient primary syndrome aflp bacterial biliary clinical coccidioides coccidioidomycosis
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 ... syndrome, Massive liver ... gradient #hepatology #differential ... #diagnosis #algorithm
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
End Stage Liver ... Disease (Cirrhosis ... Complications • Ascites ... #Cirrhosis #Complications ... #diagnosis #management
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 ... #Differential #
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... Diagnosis Portal ... of portal HTN: ascites ... portal HTN: • Ascites ... #Diagnosis #causes
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... Decompensation • Ascites ... Portosystemic Shunt • Liver ... #diagnosis #treatment ... #management
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
- Differential ... Diagnosis Algorithm ... - Hepatic: • Cirrhosis ... disease • Acute liver ... #Differential #
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Liver disease ... - Cirrhosis ... - Acute fatty liver ... #Causes #diagnosis ... #differential #
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
postpartum): • Initial symptoms ... develops (DIC, ascites ... infiltration) Differential ... Diagnosis: Viral ... obstetrics #obgyn #diagnosis
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Diagnosis High ... >1.1 g/dl): - Cirrhosis ... - Massive liver ... - Acute fatty liver ... without cirrhosis
Diagnosis and Management of Idiosyncratic Drug-induced Liver Injury (DILI) DILI Types: • Intrinsic - predictable, dose dependent
Diagnosis and Management ... ongoing ↑ LFTs or symptoms ... of liver disease ... Idiosyncratic #differential ... #Diagnosis #Management
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