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diagnosis differential clinical hepatology management algorithm pocus causes ultrasound pathophysiology radiology hepatic hematology treatment gastroenterology photo cirrhosis nejm pharmacology abscess
Causes of Acute Liver Injury - Differential Diagnosis Hepatocellular - Liver Parenchyma • Infectious: Hepatitis C, A,
Causes of Acute Liver ... Hepatocellular - Liver ... Artery: Shock Liver ... Cholestatic - Intrahepatic ... Cholestatic - Extrahepatic
Causes of Portal Hypertension According to Site of Vascular Obstruction 1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
including surgery 2) Intrahepatic ... Cirrhosis, Polycystic liver ... malignant disease 4) Intrahepatic
Portal Hypertension Classification by site of vascular obstruction 1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome 2) Intrahepatic Post-sinusoidal: Veno-occlusive disease 3)
Budd-Chiari syndrome 2) Intrahepatic ... Cirrhosis, Polycystic liver ... malignant disease 4) Intrahepatic
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
• Transjugular Intrahepatic ... Portosystemic Shunt • Liver
Hepatobiliary Manifestations of Sickle Cell Disease Acute sickle cell hepatic crisis: • Fever, acute onset RUQ pain,
transfusion Acute intrahepatic ... progressing to acute liver ... Liver transplant
Liver Function Tests (LFTs) - Normal Values and Interpretation Alanine aminotransferase (ALT/SGPT) - Liver, cardiac & skeletal
Liver Function Tests ... phosphatase (AlkP) - Liver ... nucleotidase - Liver ... Biliary obstruction, intrahepatic ... LouLectures #Liver
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm 1. Definition: T.bili elevation + >20% conjugated 2. Obtain RUQ
No dilation = intrahepatic ... MRCP, ERCP, liver
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... Causes of Acute Liver ... Injury: • Extrahepatic ... Choledochal cyst • Intrahepatic ... normal, ALP is from extrahepatic
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... Preeclampsia, HELLP, Intrahepatic ... Transfer to a liver
Causes of Intrahepatic Gas Non-Iatrogenic: • Biliary: Emphysematous cholecystitis, Ascending cholangitis, Enteric-biliary fistula, Biliary-bronchopleural fistula, Congenital incompetent
Causes of Intrahepatic ... Hepatic infarction/liver ... transplantation, Trauma, Liver ... changes of the liver ... Embolization #Intrahepatic
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