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diagnosis hepatology management algorithm syndrome hematology treatment anemia ascites criticalcare gastroenterology hepatopulmonary hypertension overview pathophysiology shock abnormal acidosis acromegaly amyloid
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential ... >10 mmHg - clinically ... sarcoidosis) • Liver ... metastasis • Fatty liver ... Veno-occlusive disease
Portal Hypertension Classification by site of vascular obstruction 1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome 2) Intrahepatic Post-sinusoidal: Veno-occlusive disease 3)
Classification ... 3) Sinusoidal: Cirrhosis ... , Polycystic liver ... or secondary to cirrhosis ... gastroenterology #diagnosis #differential
Causes of Portal Hypertension According to Site of Vascular Obstruction 1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal ... or secondary to cirrhosis ... , Polycystic liver ... portalhypertension #phtn #differential ... #diagnosis #causes
Elevated Liver Enzymes - Differential Diagnosis Algorithm Severe ALT > 15x ULN • Viral • Drugs/Toxins •
Elevated Liver Enzymes ... • Cholestatic disease ... Infiltrative • Cirrhosis ... • Others #LFTs ... Diagnosis #Algorithm #Causes
Causes of Anemia by Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm Low Mean Corpuscular Volume (<80
Causes of Anemia ... Normal Mean Corpuscular ... Renal Disease, Liver ... Reticulocytosis • Liver ... #Anemia #MCV #Classification
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... - Differential ... - Hepatic: • Cirrhosis ... • Infiltrative disease ... • Acute liver
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... Liver disease ... - Cirrhosis ... - Acute fatty liver ... #diagnosis #differential
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Interpretation of LFTs ... disease: > 2 ... hepatitis: < 1 • Cirrhosis ... chemistry #diagnosis #differential ... transaminitis #LFTs
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... - Differential ... Algorithm Vascular Causes ... hepatitis: < 1 • Cirrhosis ... injury #hepatitis #differential
Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
Primary Biliary Cirrhosis ... intralobular bile ducts causes ... /Liver failure ... or higher • Liver ... bile ducts Differential
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