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management differential algorithm liver oncology causes rheumatology hepatitis cirrhosis dermatology table aflp albumin anemia comparison disease hepatopulmonary injury obstetrics pregnancy
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... Late Budd-Chiari syndrome ... , Massive liver ... albumin #gradient #hepatology ... #differential #diagnosis
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Complications • Ascites ... Hepatopulmonary Syndrome ... • 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
Hepatobiliary Manifestations of Sickle Cell Disease Acute sickle cell hepatic crisis: • Fever, acute onset RUQ pain,
Supportive with treatment ... liver failure ... Liver transplant ... Hepatobiliary #hepatology ... #differential #diagnosis
Ascites - Differential Diagnosis Chronic liver disease (cirrhosis or chronic hepatitis) - 80% Underlying malignancy - 10% Congestive heart
Ascites - Differential ... Diagnosis Chronic ... liver disease ( ... Fitz-Hugh-Curtis syndrome ... #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-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 ... gastroenterology #management #diagnosis
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
8g per liter of ascites ... removed • Acute ... • Hepatorenal syndrome ... Management #Cirrhosis #treatment ... #hepatology
Hepatopulmonary Syndrome (HPS) HPS-differential diagnosis: 1. Pulmonary vasculature 2. Diseases of the lung parenchyma 3. Pleura and diaphragm HPS-diagnosis: 1. Patients
Hepatopulmonary Syndrome ... Diseases of the lung ... Patients with liver ... Hepatopulmonary #Syndrome ... #HPS #hepatology
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