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hematology differential algorithm cirrhosis liver cardiology causes oncology rheumatology heartfailure infectiousdiseases injury medications table albumin anemia aplastic blood chf coccidioides
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Complications • Ascites ... • Hepatorenal Syndrom ... Complications #diagnosis ... #management #summary ... #hepatology
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
- Budd-Chiari syndrome ... fibrosis - Acute ... - Nephrotic syndrome ... #Causes #diagnosis ... #differential #hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
- Differential Diagnosis ... Infiltrative disease • Acute ... liver failure ... #Differential #Diagnosis ... #Algorithm #Hepatology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... months without treatment ... Brain Failure Lung ... Failure #Cirrhosis #Hepatology ... #diagnosis
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
8g per liter of ascites ... removed • Acute ... • Hepatorenal syndrome ... #Cirrhosis #treatment ... #hepatology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... Criteria HRS-AKI (Acute ... , Normal renal ultrasound ... #HRSNAKI #hepatology
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... headache, malaise) → Acute ... develops (DIC, ascites ... Antithrombin Ill • Ultrasound ... #Pregnancy #hepatology
Myelodysplastic Syndrome (MD) - Diagnosis and Management Summary myelo (marrow) -dys- (abnormal) -plastic (shape) = funny-shaped cells
Myelodysplastic Syndrome ... transformation to acute ... only curative treatment ... #Management #treatment ... #hematology #oncology
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Decompensation • Ascites ... • Hepatorenal Syndrome ... Portosystemic Shunt • Liver ... inpatient #Cirrhosis #diagnosis ... #treatment #management
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... of portal HTN: ascites ... portal HTN: • Ascites ... • Cirrhosis/acute ... #causes #hepatology
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