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differential management hepatology causes algorithm criticalcare complications hematology cirrhosis injury nephrology saag acidosis acute albumin bacterial bariatric classification clinical dermatology
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 ... leak, Nephrotic syndrome ... #differential #diagnosis
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
End Stage Liver ... Complications • Ascites ... (HRS) • Liver ... SBP) #ESLD #Liver ... Complications #diagnosis
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Decompensation • Ascites ... • Hepatorenal Syndrome ... Portosystemic Shunt • Liver ... inpatient #Cirrhosis #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 ( ... Fitz-Hugh-Curtis syndrome ... Chylous <1% #Ascites
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... Insufficiency, Liver ... Abdominal compartment syndrome ... Treatment Goals ... #Differential #Diagnosis
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... - Differential Diagnosis ... disease • Acute liver ... • Budd-Chiari syndrome ... #Differential #Diagnosis
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
- Budd-Chiari syndrome ... Liver disease ... - Acute fatty liver ... - Nephrotic syndrome ... #Causes #diagnosis
Streptococcal Toxic Shock Syndrome (STSS) Complication of invasive GAS disease characterized by shock & MOF → occurs
Syndrome (STSS) ... 50% in nec fasc Diagnostic ... (2+): kidneys, liver ... #Syndrome #STSS ... #diagnosis
Systemic Lupus Erythematosus: Gastrointestinal Manifestations - Thrombosis of vessels in the pancreas, Vasculitis -> Acute Pancreatitis
Pancreatitis - Elevated Liver ... - Budd Chiari Syndrome ... Enteropathy -> Ascites ... signs #symptoms #diagnosis
Causes of Acute Liver Injury - Differential Diagnosis Hepatocellular - Liver Parenchyma • Infectious: Hepatitis C, A,
Causes of Acute Liver ... Hepatocellular - Liver ... Liver, Thrombus ... Stricture, Malignancy, Liver ... Sophia_Hayes_MD #Liver
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