2014 results
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Diagnosis Algorithm Malignant ... Multiple Myeloma Non-Malignant ... • Budd-Chiari Syndrome ... Algorithm #Causes #Hepatology
Jaundice - Differential Diagnosis Algorithm
Pre-Hepatic - Unconjugated Hyperbilirubinemia
Increased Production
 • Hemolysis
 • Ineffective Erythropoiesis
 • Hematoma
Decreased
• Gilbert's Syndrome ... Crigler-Najjar Syndromes ... Compression • Malignancy ... Algorithm #Causes #Hepatology
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
80% Underlying malignancy ... Fitz-Hugh-Curtis syndrome ... Differential #Diagnosis #hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG)

SAAG ≥ 1.1:
 • Cirrhosis
 • Portal
• Nephrotic syndrome ... • Malignancy ... Gradient #SAAG #hepatology
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Superior vena cava syndrome ... • Nephrotic syndrome ... Noninfectious: • Malignancy ... • Yellow nail syndrome ... Diagnosis #Algorithm #Hepatology
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
hyperplasia, Metastatic malignant ... post-sinusoidal: Budd-Chiari syndrome ... diagnosis #causes #hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Sinusoidal obstruction syndrome ... • Budd-Chiari syndrome ... • Nephrotic syndrome ... Protein-rich: • Malignancy ... Diagnosis #Algorithm #Hepatology
Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
 • Infectious: Hepatitis C, A,
obstruction, HELLP Syndrome ... • Obstructive: Malignancy ... Choledocholithiasis, Stricture, Malignancy ... Acute #algorithm #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
- Budd-Chiari syndrome ... - Nephrotic syndrome ... HIV-associated peritonitis Malignant ... #differential #hepatology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
vein: Budd-chiari syndrome ... Biliary Stricture, Malignancy ... Biliary stone, Malignancy ... • Gilbert's syndrome ... diagnosis #algorithm #hepatology