38 results
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver ... Hepatopulmonary Syndrome ... • Hepatorenal Syndrom ... Spontaneous Bacterial Peritonitis ... management #summary #hepatology
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
Spontaneous Bacterial Peritonitis ... Clinical • Fever ... • Chills • Abdominal ... Spontaneous #Bacterial #Peritonitis ... SBP #Diagnosis #Hepatology
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Secondary Bacterial Peritonitis ... (SBP) on Abdominal ... Cirrhosis with fever ... #SBP #Abdominal ... POCUS #clinical #ultrasound
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
Diagnosis Chronic liver ... 5% Tuberculous peritonitis ... Fitz-Hugh-Curtis syndrome ... Differential #Diagnosis #hepatology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Spontaneous Bacteria Peritonitis ... • Hepatorenal syndrome ... Management #Cirrhosis #treatment ... #hepatology
CAPD-associated peritonitis (Continuous Ambulatory Peritoneal Dialysis) - 5 Things To Know
Diagnosis (Two of the following):
(1) Clinical
CAPD-associated peritonitis ... (abdominal pain ... culture Note that fever ... suggest other intra-abdominal ... diverticulitis) Treatment
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
to cirrhosis, Abdominal ... Cirrhosis, Polycystic liver ... post-sinusoidal: Budd-Chiari syndrome ... diagnosis #causes #hepatology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... nausea, vomiting, abdominal ... Antithrombin Ill • Ultrasound ... #Pregnancy #hepatology
Macrophage Activation Syndrome (MAS)
Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH)

What?
A subset of
Macrophage Activation Syndrome ... syndromes Clinical ... ALT ↑ bilirubin level ... Treatment: • Corticosteroids ... Diagnosis #Management #Hematology