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diagnosis hepatology causes saag algorithm gradient chemistry gap globulin hepatopulmonary hepatorenal hps hrs hypertension interpretation lfts liver management nephrology portal
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient ... protein ≤ 2.5 g/dL: Cirrhosis ... , Massive liver ... #albumin #gradient ... #hepatology #differential
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... >1.1 g/dl): - Cirrhosis ... without cirrhosis ... #Differential # ... Diagnosis #hepatology
Ascites - Differential Diagnosis Chronic liver disease (cirrhosis or chronic hepatitis) - 80% Underlying malignancy - 10% Congestive heart
Ascites - Differential ... Diagnosis Chronic liver ... disease (cirrhosis ... Fitz-Hugh-Curtis syndrome ... Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... >10 mmHg - clinically ... of portal HTN: ascites ... portal HTN: • Ascites ... INR, bilirubin, albumin
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
- Budd-Chiari syndrome ... Liver disease ... - Cirrhosis ... Causes #diagnosis #differential ... #hepatology #SAAG
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
- Differential ... - Hepatic: • Cirrhosis ... • Infiltrative disease ... • Acute liver ... #Differential #
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Production: • Albumin ... disease: > 2 ... hepatitis: < 1 • Cirrhosis ... • Gilbert's syndrome ... chemistry #diagnosis #differential
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
salivary ducts Clinical ... vasculitis: 10%-16% Liver ... primary biliary cirrhosis ... Nephrogenic DI Hematologic ... phenomenon (16%) MSK
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
Hepatorenal Syndrome ... disease: cirrhosis ... Diagnosis (Clinical ... diuretic-resistant ascites ... - IV albumin
Hepatopulmonary Syndrome - Illness Script HPS is a pulmonary disorder of chronic liver disease characterized by a
of orthodeoxia CLINICAL ... • Stigmata of cirrhosis ... : jaundice, ascites ... #cirrhosis #diagnosis ... #hepatology
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