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diagnosis differential management ascites causes physicalexam syndrome algorithm fingernails hands hepatopulmonary injury lfts saag terrys transaminitis treatment abnormal aclf albumin
"Liver palms" Palmar erythema #clinical #diagnosis #PhysicalExam #hands #liver #hepatology #cirrosis #photo
"Liver palms" Palmar ... erythema #clinical ... PhysicalExam #hands #liver ... #hepatology #cirrosis ... #photo
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... ACLF) Clinical Guidelines ... those with CLD (± cirrhosis ... #Failure #Cirrhosis ... #Hepatology #gastroenterology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... Intrahepatic: • Cirrhosis ... /acute hepatitis ... Primary biliary cirrhosis ... Diagnosis #causes #hepatology
Patterns of Liver Injury Transaminase Levels: > 50x normal - Ischemic Hepatitis > 20x normal
Patterns of Liver ... - Acute Viral Hepatitis ... CMV), Alcoholic cirrhosis ... , Portal Vein Thrombosis ... #Injury #hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Prehepatic: • Portal ... - Hepatic: • Cirrhosis ... Infiltrative disease • Acute ... liver failure ... Diagnosis #Algorithm #Hepatology
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Peritoneum Portal ... Liver disease ... - Cirrhosis ... - Acute fatty ... #differential #hepatology
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
Family history of cirrhosis ... • Cirrhosis ... > 3 mg/dL) or acute ... liver failure ... Indications #management #hepatology
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... - If both are normal ... hepatitis: < 1 • Cirrhosis ... Bili > 90% of Total ... diagnosis #algorithm #hepatology
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Hepatocellular - Check Acute ... Mixed - Check Acute ... hepatitis: < 1 • Cirrhosis ... : > 1 • Acute ... #differential #Hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
>1.1 g/dl): - Cirrhosis ... syndrome) - Portal ... Veno-occlusive disease - Acute ... ascites without cirrhosis ... Differential #Diagnosis #hepatology
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