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diagnosis hepatology syndrome aclf chronic differential failure gastroenterology hbv hepatitisb hepatorenal hrs indications kidney nephrology rheumatology sjogrens
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... months without treatment ... Brain Failure Lung ... Injury (DILI) ... Viral Hepatitis
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
Hepatitis B - Treatment ... injury (INR > 2 ... liver failure ... #HepatitisB #HepBV ... #Indications #management
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... Differential Diagnosis Algorithm ... CA, small cell lung ... : < 1 • Cirrhosis ... #injury #hepatitis
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... (AKI) - Management ... Treat underlying liver ... #Injury #treatment ... #management
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
disease: cirrhosis ... severe alcoholic hepatitis ... , or acute liver ... Normal kidney ultrasound ... Treatment Overview
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
vasculitis: 10%-16% Liver ... • Autoimmune hepatitis ... primary biliary cirrhosis ... phenomenon (16%) MSK ... MALT Lymphoma • Lung
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