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diagnosis differential algorithm hepatopulmonary liver management syndrome transaminitis treatment abdominal abnormal biliary caput chemistry cholangitis clinical coagulation dic direction disseminated
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis Hepatocellular Pattern (ALT or AST > ALP):
AST): • US - Normal ... Ducts - PBC ... Congenital, Others, Cirrhosis ... Burak @kwburak #LFTs ... Algorithm #diagnosis #hepatology
Elevated Liver Enzymes - Differential Diagnosis Algorithm Severe ALT > 15x ULN • Viral • Drugs/Toxins •
disease US — Normal ... Infiltrative • Cirrhosis ... • Others #LFTs ... #Hepatology #LiverEnzymes ... Diagnosis #Algorithm #Causes
Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
Pathophysiology ... intralobular bile ducts causes ... • ALT & AST normal ... • Bilirubin - Normal ... diagnosis #workup #hepatology
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension We do the milking method as depicted
depicted in the video ... In this case the ... abdominal #clinical #video ... direction #veins #cirrhosis ... #hepatology
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 Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Algorithm Vascular Causes ... stone, Malignancy, PBC ... - If both are normal ... hepatitis: < 1 • Cirrhosis ... diagnosis #algorithm #hepatology
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Interpretation of LFTs ... - If both are normal ... hepatitis: < 1 • Cirrhosis ... #differential #Hepatology ... transaminitis #LFTs
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
protein C and S Pathophysiology ... Thrombocytopenia - Normal ... Treat primary cause ... - APTT < 1.5 x normal ... treatment #management #hematology
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
lung disease Caused ... Arterial blood gas (ABC ... with or without cirrhosis ... of underlying portal ... management #treatment #hepatology
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4) Work-up of an Elevated Globulin Gap: •
Liver disease: Cirrhosis ... autoimmune hepatitis, PBC ... gastric tumors • Hematology ... light chain • Normal ... differential #diagnosis #hematology
Hepatopulmonary Syndrome - Illness Script HPS is a pulmonary disorder of chronic liver disease characterized by a
abnormalities PATHOPHYSIOLOGY ... arteriovenous shunting causes ... • Stigmata of cirrhosis ... Liver disease &/or portal ... #diagnosis #hepatology
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