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diagnosis differential ascites causes algorithm albumin cholangitis gradient hepatitis hepatomegaly hypertension injury pbc portal psc rheumatology sclerosing serum sjogrens summary
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
) SAAG ≥ 1.1: ... protein ≤ 2.5 g/dL: Cirrhosis ... , Massive liver ... SAAG < 1.1: Biliary ... albumin #gradient #hepatology
Hepatomegaly - Differential Diagnosis Algorithm Malignant • Primary Carcinoma • Metastases • Lymphoma • Leukemia • Polycythemia
Diagnosis Algorithm Malignant ... • Fatty Liver ... • Budd-Chiari Syndrome ... Biliary Cirrhosis ... Algorithm #Causes #Hepatology
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Liver disease ... - Cirrhosis ... HIV-associated peritonitis Malignant ... carcinomatosis - Primary ... #differential #hepatology
Ascites - Differential Diagnosis Chronic liver disease (cirrhosis or chronic hepatitis) - 80% Underlying malignancy - 10% Congestive heart
Diagnosis Chronic liver ... 80% Underlying malignancy ... Fitz-Hugh-Curtis syndrome ... Failure, Pancreatic, Biliary ... Differential #Diagnosis #hepatology
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary ... biliary cirrhosis ... Nonalcoholic fatty liver ... disease (Budd-Chiari syndrome ... #Differential #Hepatology
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 Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
HTN: ascites (SAAG ... and hepatorenal syndrome ... pregnancy • Primary ... biliary cirrhosis ... Diagnosis #causes #hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
- Hepatic: • Cirrhosis ... disease • Acute liver ... biliary cholangitis ... Protein-rich: • Malignancy ... Diagnosis #Algorithm #Hepatology
Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
Primary Biliary ... /Liver failure ... - gallstone or malignancy ... #Primary #Biliary ... diagnosis #workup #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Albumin Gradient (SAAG ... >1.1 g/dl): - Cirrhosis ... - Acute fatty liver ... Tuberculosis - Biliary ... Differential #Diagnosis #hepatology
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
vein: Budd-chiari syndrome ... Stricture, Malignancy ... stone, Malignancy ... hepatitis: < 1 • Cirrhosis ... diagnosis #algorithm #hepatology
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