16 results
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... develops (DIC, ascites ... Transfer to a liver ... #Liver #Pregnancy
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Liver disease ... - Alcoholic hepatitis ... - Acute fatty ... liver of pregnancy ... Causes #diagnosis #differential
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic liver ... disease (cirrhosis ... or chronic hepatitis ... #Differential #
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Inflammation - Hepatitis ... 15 percent) - Hepatitis ... - Nonalcoholic fatty ... liver disease ... #Diagnosis #Differential
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Hepatomegaly - Differential ... Non-Malignant • Fatty ... Liver • Cysts ... Hemochromatosis • Wilson's Disease ... #Hepatomegaly #Differential
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... Cirrhosis/acute hepatitis ... sarcoidosis) • Liver ... metastasis • Fatty ... liver of pregnancy
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) - Differential ... - Alcoholic hepatitis ... - Massive liver ... - Acute fatty ... liver of pregnancy
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Liver Disease in ... Hemolysis, Elevated Liver ... Liver of Pregnancy ... features: Liver ... BrighamChiefs #Liver
Huge Umbilical Hernia: Umbilical hernia exacerbated by refractory ascites. Advanced liver disease 
precluded operative repair in
by refractory ascites ... Advanced liver disease ... Goldberg, M.D. - UCSD ... Catalog of Clinical ... Images #Clinical
Hepatorenal Syndrome Diagnosis
 • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
gradual • Severe liver ... disease (e.g. advanced ... severe alcoholic hepatitis ... Moderate to severe ascites ... diagnosis #HRS #nephrology