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differential management albumin causes gradient hepatopulmonary rheumatology abdominal activation algorithm bariatric bypass cholecystitis cirrhosis clinical compartment complications distended gallbladder gangrenous
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... ) SAAG ≥ 1.1: ... , Massive liver ... #gradient #hepatology ... #differential #diagnosis
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
- Budd-Chiari syndrome ... Liver disease ... - Nephrotic syndrome ... #Causes #diagnosis ... #differential #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Gradient (SAAG) ... - Differential Diagnosis ... ischemia/infarction #SAAG ... #Differential #Diagnosis ... #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... of portal HTN: ascites ... (SAAG>I.I), esophageal ... portal HTN: • Ascites ... #causes #hepatology
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... absence of intrinsic lung ... on radioactive lung ... ) on room air Treatment ... #treatment #hepatology
Macrophage Activation Syndrome (MAS) Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH) What? A subset of
rash) • Heart, lung ... ALT ↑ bilirubin level ... Treatment: • Corticosteroids ... #Diagnosis #Management ... #Hematology #Rheumatology
Gangrenous cholecystitis with sloughed, intraluminal membranes on POCUS Worsening RUQ pain/fever. Ill-appearing, low BP. WBC 22.4K. POCUS
Worsening RUQ pain/fever ... Diagnosis? ... surrounded by ascites ... after surgery and long ... POCUS #clinical #ultrasound
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 Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... Liver Disease in ... Gastroenterology and Hepatology ... gastroenterology #diagnosis
Hepatopulmonary Syndrome - Illness Script HPS is a pulmonary disorder of chronic liver disease characterized by a
presence in the lower lung ... cirrhosis: jaundice, ascites ... the left heart TREATMENT ... #cirrhosis #diagnosis ... #hepatology
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Diagnosis: • Dry ... vasculitis: 10%-16% Liver ... MALT Lymphoma • Lung ... Adenocarcinoma Treatment ... lubricants • Pharmacologic
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