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diagnosis differential treatment cirrhosis gastroenterology gradient rheumatology saag behcet biliary cholangitis complications cryofibrinogenemia dili disease druginduced hepatorenal hrs indications injury
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient ... Late Budd-Chiari syndrome ... #albumin #gradient ... #hepatology #differential ... #diagnosis #algorithm
Ascites - Differential Diagnosis and Workup Algorithm • Perform paracentesis: • Cell count and diff • Total
Diagnosis and Workup ... Algorithm • ... protein • Fluid albumin ... and serum albumin ... gastroenterology #hepatology
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 ... Ascites Workup ... Algorithm Ascites ... Management Refractory ... gastroenterology #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... thrombosis (Budd-Chiari syndrome ... cirrhosis - Nephrotic syndrome ... associated with bowel ischemia ... Differential #Diagnosis #hepatology
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... for Management ... 8g per liter of ascites ... • Hepatorenal syndrome ... Cirrhosis #treatment #hepatology
Hepatorenal Syndrome - Diagnosis and Management Summary Who gets HRS? • Decompensated cirrhosis • Typically with existing
Hepatorenal Syndrome ... Diagnosis and Management ... with existing ascites ... circulatory overload, CV ischemia ... #Hepatorenal #Syndrome
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... disease, Hepatic ischaemia ... disorder (e.g. ascites ... Injury #Diagnosis #Algorithm ... #hepatology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
vs Tumor Lysis Syndrome ... hyperviscosity syndrome ... AKI, acute limb ischemia ... TLS #diagnosis #management ... #hematology
Portal Vein Thrombosis (PVT) Treatment Algorithm - If concern for ischemic: anti-coag+multidisciplinary care - W/o cirrhosis+recent
PVT) Treatment Algorithm ... If concern for ischemic ... PVT #Treatment #management ... #Algorithm #hepatology
Cryofibrinogenemia Summary Cryofibrinogenemia Epidemiology: • 40-70 years with a modest female predominance Cryofibrinogenemia: • The precipitation of a
split products, albumin ... products with: - Albumin ... limb and bowel ischemia ... Antiphospholipid syndrome ... #hematology
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