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differential hepatology management causes table oncology algorithm appearance coagulation lesions radiology thrombocytopenia aflp anemia cirrhosis complications dermatology disease gastroenterology hellp
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Complications • Ascites ... Esophageal Varices • Hepatic ... • Hepatorenal Syndrom ... Complications #diagnosis ... management #summary #hepatology
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
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
- Differential Diagnosis ... Hypertension - Hepatic ... disease • Acute liver ... - Post-Hepatic: ... #Algorithm #Hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... HTN: ascites (SAAG ... and hepatorenal syndrome ... HTN: • Ascites ... #causes #hepatology
Complications of Portal Hypertension • Hepatic Encephalopathy • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax •
Hypertension • Hepatic ... hypertension, Hepatic ... • Ascites: Spontaneous ... Complications #hepatology ... #diagnosis
Deciphering the SAAG - Serum to Ascites Albumin Gradient Ascites is either made in the liver sinusoid
either made in the liver ... or not by the liver ... sinusoid with (ie Portal ... Matherly @liverprof #Diagnosis ... #Hepatology #SAAG
Ascites - Differential Diagnosis Chronic liver disease (cirrhosis or chronic hepatitis) - 80% Underlying malignancy - 10% Congestive heart
Diagnosis Chronic ... liver disease ( ... Fitz-Hugh-Curtis syndrome ... Disease, Fulminant Hepatic ... #hepatology
Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
imaging: Normal ... • Histology: Normal-mild ... necrosis HELLP Syndrome ... obstetrics #hepatitis #comparison ... #differential #diagnosis
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Decompensation • Ascites ... Variceal Bleeding • Hepatic ... • Hepatorenal Syndrome ... Portosystemic Shunt • Liver ... #treatment #management
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
- Differential Diagnosis ... - Massive liver ... failure - Hepatic ... ) - Portal vein ... #hepatology
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