13 results
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Disease (Cirrhosis ... Varices • Hepatic Encephalopathy ... Hepatopulmonary Syndrome ... • Hepatorenal Syndrom ... management #summary #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... protein ≤ 2.5 g/dL: Cirrhosis ... , Massive liver ... albumin #gradient #hepatology
Cirrhosis - Pathophysiology
 - Ascites Formation
 - Dilutional Hyponatremia
 - Hepatorenal Syndrome
 - Spontaneous Infections

#Cirrhosis #Pathophysiology
Cirrhosis - Pathophysiology ... - Hepatorenal Syndrome ... Infections #Cirrhosis ... #Pathophysiology ... #hepatology #liver
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
HTN: ascites (SAAG ... thrombocytopenia, hepatic encephalopathy ... and hepatorenal syndrome ... sarcoidosis) • Liver ... Diagnosis #causes #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
- Budd-Chiari syndrome ... Liver disease ... - Cirrhosis ... - Nephrotic syndrome ... #differential #hepatology
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... Bleeding • Hepatic Encephalopathy ... • Hepatorenal Syndrome ... Portosystemic Shunt • Liver ... #diagnosis #treatment
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Management of Cirrhosis ... ) - 8g per liter ... • Hepatorenal syndrome ... Indications #Management #Cirrhosis ... #treatment #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Albumin Gradient (SAAG ... >1.1 g/dl): - Cirrhosis ... ascites - Massive liver ... - Acute fatty liver ... Differential #Diagnosis #hepatology
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Nutrition in Cirrhosis ... treat hepatic encephalopathy ... cirrhosis. ... diet #management #hepatology ... #pathophysiology
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Chemistries ... INR > 1.5 • Encephalopathy ... hepatitis: < 1 • Cirrhosis ... • Gilbert's syndrome ... #differential #Hepatology