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Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... of Cirrhosis and ... Hepatic Hydrothorax AKI ... in Cirrhosis, HRS-AKI ... gastroenterology #hepatology
Prerenal Acute Kidney Injury - Diagnostic Schema

Hypovolemia 
Hypervolemia 
Hypotension 
Vessels 

#Prerenal #Acute #Kidney #Injury #AKI #Diagnosis
Prerenal Acute Kidney Injury ... Acute #Kidney #Injury ... #AKI #Diagnosis ... #Differential # ... Classification
Acute Kidney Injury (AKI) in Patients with Cancer 

Cancer Related 
• Hypercalcemia 
• Intravenous contrast 
•
Acute Kidney Injury ... (AKI) in Patients ... malignancies Treatment ... #Differential # ... Diagnosis #Classification
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
Diagnostic Criteria HRS-AKI ... in 3 months • Cirrhosis ... structural kidney injury ... disease - Cirrhosis ... HRSAKI #HRSNAKI #hepatology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... of Cirrhosis ... • Acute kidney injury ... #Cirrhosis #treatment ... #hepatology
Rhabdomyolysis - Differential Diagnosis and Management Summary

Trauma:
 • Immobilization, Crush iniury, Compartment syndrome, Electrical injury
Exertional:
 •
Rhabdomyolysis - Differential ... Diagnosis and Management ... syndrome, Electrical injury ... Dermatomyositis) AKI ... Treatment: 1
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
those with CLD (± cirrhosis ... months without treatment ... Drug-Induced Liver Injury ... #Hepatology #gastroenterology ... #management #diagnosis
Hypereosinophilia (HE) Summary

 • Definition
 • When to Suspect?
 • A Partial Classification of Hypereosinophilia
 •
• A Partial Classification ... Presentations • Treatment ... Hypereosinophilia #HE #hematology ... #diagnosis #management
Elevated Liver Function Tests (LFTs) - Differential Diagnosis Framework
Mild (<100-500): 
 • NAFLD
 • Cirrhosis
 •
Tests (LFTs) - Differential ... • NAFLD • Cirrhosis ... Drug-induced liver injury ... #Tests #LFTs #Differential ... #Diagnosis #hepatology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
Rhabdomyolysis - Differential ... Framework and Management ... declines > ALT) • AKI ... + myoglobin AKI ... #Diagnosis #Management