11 results
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 #
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... encephalopathy, and hepatorenal ... Cirrhosis/acute hepatitis ... sarcoidosis) • Liver ... metastasis • Fatty liver
Hepatorenal Syndrome Diagnosis
 • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome ... gradual • Severe liver ... disease (e.g. advanced ... severe alcoholic hepatitis ... Moderate to severe ascites
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Veno-occlusive disease ... Liver disease ... - Alcoholic hepatitis ... - Acute fatty liver ... Causes #diagnosis #differential
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... develops (DIC, ascites ... Transfer to a 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
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Gradient (SAAG) - Differential ... - Alcoholic hepatitis ... - Massive liver ... Veno-occlusive disease ... - Acute fatty liver
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Liver Disease in ... Hemolysis, Elevated Liver ... hemorrhage Acute Fatty Liver ... features: Liver ... BrighamChiefs #Liver
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Causes of Fatigue - Differential ... Renal Failure • Liver ... Epstein-Barr Virus • Hepatitis ... Obstructive Pulmonary Disease ... Neurologic
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases

• Septic arthritis - Gram stain and culture of
IgM) levels • Hepatitis ... B serology • ... profile, including liver ... arthritis) • Hepatitis ... ANA and RF (if clinical