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management differential hepatology algorithm criticalcare causes hepatopulmonary nephrology rheumatology acidosis antibodies associations autoantibodies checklist classification curves dermatology diseases diuresis diuretics
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... • Hepatorenal Syndrome ... Portosystemic Shunt • Liver ... DeanEhrlich_MD #inpatient #Cirrhosis ... #diagnosis #treatment
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
• Diagnosis of ... heart failure, liver ... heart failure, liver ... heart failure, liver ... heart failure, liver
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Diagnosis Framework ... Insufficiency, Liver ... Abdominal compartment syndrome ... Treatment Goals ... #Differential #Diagnosis
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
- Differential Diagnosis ... vein: Budd-chiari syndrome ... Hepatic artery: Shock ... VZV • Trauma: Shock ... hepatitis: < 1 • Cirrhosis
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
Autoantibodies and their Disease Associations ANA - Non-specific; common in SLE, autoimmune hepatitis Anti-CCP, Rheumatoid factor - RA Anti-dsDNA
Dermatomyositis Anti-LKM (liver ... Primary biliary cirrhosis ... La) - Sjogren's syndrome ... Associations #diseases #diagnosis ... #table #rheumatology
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... CCB, BB, BRASH syndrome ... cytokine release syndrome ... neuraxial anesthesia), Liver ... #diagnosis #differential
Nail Disorders secondary to Systemic Diseases Nail Fold Abnormality • SLE • Scleroderma • Dermatomyositis Koilonychia - Spoon-shaped
growth (e.g.. shock ... discoloration) • Liver ... cirrhosis • Congestive ... • Nephrotic syndrome ... #Differential #Diagnosis
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... the setting of liver ... • Underlying liver ... with or without cirrhosis ... hypertension • Liver
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
glucose by the liver ... contribution of liver ... - Compartment syndrome ... mellitus/DKA - Liver ... gluconeogenesis Liver
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