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diagnosis treatment differential hematology indications product reactions aclf albumin algorithm chemistry chronic diet failure fungal gastroenterology hbv hepatitis hepatitisb hepatopulmonary
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... those with CLD (± cirrhosis ... Brain Failure Lung ... Injury (DILI) ... #Hepatology #gastroenterology
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... of Cirrhosis ... ascites removed • Acute ... kidney injury ( ... #hepatology
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... CA, small cell lung ... hepatitis: < 1 • Cirrhosis ... intestines, white blood ... diagnosis #algorithm #hepatology
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Mixed - Check Acute ... injury < 26 weeks ... hepatitis: < 1 • Cirrhosis ... intestines, White blood ... #differential #Hepatology
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
injury (INR > 2 ... > 3 mg/dL) or acute ... liver failure ... #Indications #management ... #hepatology
Nutrition in Cirrhosis: Dos and Don’ts Screening: • Patients at risk for RFH-Nutritional Prioritizing Tool • Low
Nutrition in Cirrhosis ... Analysis, muscle ultrasound ... cirrhosis. ... #diet #management ... #hepatology #pathophysiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
absence of intrinsic lung ... passage • Arterial blood ... with or without cirrhosis ... on radioactive lung ... #treatment #hepatology
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
- Acute Hemolytic ... Transfusion Related Acute ... Lung Injury (TRALI ... eruptions, diarrhea, liver ... Transfusions #diagnosis #management
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
• Acute Hemolytic ... Transfusion Related Acute ... Lung Injury (TRALI ... eruptions, diarrhea, liver ... Transfusion #diagnosis #management
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
• Major blood ... , neutropenia, cirrhosis ... change in the lungs ... have positive blood ... Fungal #Diagnosis #Management
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