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diagnosis treatment differential hematology cirrhosis algorithm clinical liver causes criticalcare pocus medications oncology rheumatology saag albumin cardiology checklist gastroenterology heartfailure
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Late Budd-Chiari syndrome ... , Massive liver ... Early Budd-Chiari syndrome ... leak, Nephrotic syndrome ... albumin #gradient #hepatology
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Complications • Ascites ... Hepatopulmonary Syndrome ... • Hepatorenal Syndrom ... Complications #diagnosis #management ... #summary #hepatology
Cirrhosis - Pathophysiology - Ascites Formation - Dilutional Hyponatremia - Hepatorenal Syndrome - Spontaneous Infections #Cirrhosis #Pathophysiology
Pathophysiology - Ascites ... - Hepatorenal Syndrome ... Pathophysiology #hepatology ... #liver
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
- Budd-Chiari syndrome ... Liver disease ... - Nephrotic syndrome ... Mediterranean fever ... #differential #hepatology
Ascites - Differential Diagnosis Chronic liver disease (cirrhosis or chronic hepatitis) - 80% Underlying malignancy - 10% Congestive heart
Ascites - Differential ... Diagnosis Chronic liver ... Fitz-Hugh-Curtis syndrome ... Chylous <1% #Ascites ... Differential #Diagnosis #hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... disease • Acute liver ... • Budd-Chiari syndrome ... • Nephrotic syndrome ... Diagnosis #Algorithm #Hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Ascites PMN > ... Best evidence: long-term ... protein (< 1.5g/L) ascites ... dysfunction or liver ... #hepatology
Ascites Management Principles Low Salt Diet - 2000 Mg Sodium Fluid Restriction - Never Work-horse Diuretic - Aldosterone Antagonist Combination
Ascites Management ... Restriction - Never ... @ebtapper #Ascites ... #Management #cirrhosis ... #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
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
develops (DIC, ascites ... Antithrombin Ill • Ultrasound ... Intrahepatic Cholestasis Management ... #Pregnancy #hepatology ... obgyn #diagnosis #management
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