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diagnosis hepatology algorithm causes ultrasound hematology ascites criticalcare nephrology classification gastroenterology rheumatology shock abdominal infections infectiousdiseases oncology pathophysiology pharmacology summary
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
End Stage Liver ... Disease (Cirrhosis ... (HRS) • Liver ... SBP) #ESLD #Liver ... #diagnosis #management
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic Liver ... Failure (ACLF) Clinical ... months without treatment ... disease, liver ... support, or liver
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... • Hepatorenal Syndrome ... Portosystemic Shunt • Liver ... #diagnosis #treatment ... #management
Ascites - Differential Diagnosis Chronic liver disease (cirrhosis or chronic hepatitis) - 80% Underlying malignancy - 10% Congestive heart
Ascites - Differential ... Diagnosis Chronic liver ... disease (cirrhosis ... failure - 3-5% Cirrhosis ... Fitz-Hugh-Curtis syndrome
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
Etiologies of Cirrhosis ... Primary biliary cirrhosis ... Nonalcoholic fatty liver ... disease (Budd-Chiari syndrome ... #Diagnosis #Differential
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 Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... >10 mmHg - clinically ... and hepatorenal syndrome ... sarcoidosis) • Liver ... metastasis • Fatty liver
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
protein ≤ 2.5 g/dL: Cirrhosis ... Late Budd-Chiari syndrome ... , Massive liver ... leak, Nephrotic syndrome ... gradient #hepatology #differential
Causes of Gallbladder Wall Thickening - Differential Diagnosis • Physiologic: Contracted gall bladder in a non-fasting
Wall Thickening - Differential ... heart failure, Liver ... cirrhosis, Nephrotic ... syndrome, Pre-eclampsia ... Diagnosis #radiology #POCUS
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... of Cirrhosis ... • Hepatorenal syndrome ... #Indications #Management ... #Cirrhosis #treatment
Cirrhotic liver on Ultrasound. Irregular contour (multinodular, regeneration nodules ): comparison macroscopic vision and ultrasound Dr. Gonzalo
Cirrhotic liver ... CasasolaGarcia #Liver ... #Cirrhotic #Cirrhosis ... #Ultrasound #POCUS ... #Clinical
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