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diagnosis hepatology treatment hematology product reactions aclf aki albumin algorithm chronic differential diuresis diuretics excretion failure fungal gastroenterology hbv hepatitis
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) ... #Failure #Cirrhosis
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for ... of Cirrhosis ... ascites removed • Acute ... kidney injury ( ... #Management #Cirrhosis
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... Liver Injury: ... CA, small cell lung ... hepatitis: < 1 • Cirrhosis ... intestines, white blood
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
B - Treatment Indications ... injury (INR > 2 ... > 3 mg/dL) or acute ... liver failure ... #management #hepatology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... Torsemide) • Acute ... hyperaldosteronism • Acute ... Prevention of blood ... #Pharmacology #Medications
Acute Kidney Injury (AKI) - Management Principles Prerenal - Correct hemodynamic derangements: • If low preload →
Acute Kidney Injury ... (AKI) - Management ... Treat underlying liver ... straight cath or long-term ... #Kidney #Injury
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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