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diagnosis hepatology treatment ultrasound differential hematology summary abdominal causes criticalcare indications lfts syndrome transaminitis trauma algorithm ascites blastomycosis blood cardiology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... ACLF) Clinical Guidelines ... those with CLD (± cirrhosis ... Injury (DILI) ... #Failure #Cirrhosis
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... of Cirrhosis ... ascites removed • Acute ... kidney injury ( ... #Cirrhosis #treatment
Elevated Liver Function Tests (LFTs) - Differential Diagnosis Framework Mild (<100-500): • NAFLD • Cirrhosis •
Elevated Liver Function ... • NAFLD • Cirrhosis ... Hepatopathy • Acute ... (Drug-induced liver ... injury) • Ischemic
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... Liver Injury: ... Liver Injury: ... Liver Injury: ... hepatitis: < 1 • Cirrhosis
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Mixed - Check Acute ... injury < 26 weeks ... hepatitis: < 1 • Cirrhosis ... : > 1 • Acute ... muscle injury: >
Patterns of Liver Injury Transaminase Levels: > 50x normal - Ischemic Hepatitis > 20x normal
Patterns of Liver ... Injury Transaminase ... > 20x normal - Acute ... CMV), Alcoholic cirrhosis ... #Patterns #Liver
Clinical manifestations of acute liver failure Brain: Hepatic encephalopathy, Cerebral edema, Intracranial hypertension,
Clinical manifestations ... of acute liver ... abnormalities Liver ... Subclinical myocardial injury ... lung injury,
Flapping tremors of Asterixis DDx - Decompensated cirrhosis or acute liver failure. - Renal failure /azotemia. - Respiratory failure with
Decompensated cirrhosis ... or acute liver ... #PhysicalExam #clinical
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 Causes of Gallbladder Wall Thickening - Differential Diagnosis • Physiologic: Contracted gall bladder in a non-fasting
heart failure, Liver ... cirrhosis, Nephrotic ... Inflammatory conditions: Acute ... , Cholangitis, Acute ... Diagnosis #radiology #POCUS
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... Clues to non-cirrhotic ... /acute hepatitis ... sarcoidosis) • Liver ... metastasis • Fatty liver
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