13 results
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Autoimmune (types 1, 2, ... Nonalcoholic fatty liver ... disease (Budd-Chiari syndrome ... #Diagnosis #Differential ... #Hepatology #Cirrhosis
Causes of Portal Hypertension According to Site of Vascular Obstruction
1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
including surgery 2) ... , Polycystic liver ... post-sinusoidal: Budd-Chiari syndrome ... portalhypertension #phtn #differential ... diagnosis #causes #hepatology
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M
with HCV induced cirrhosis ... Echocardiogram #bubble ... intrapulmonary #cardiology ... #clinical #pocus ... #hepatology #a4c
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... >10 mmHg - clinically ... and hepatorenal syndrome ... • Budd Chiari syndrome ... Diagnosis #causes #hepatology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
- Budd-Chiari syndrome ... - Cirrhosis ... Myxedema (SAAG 2 ... Causes #diagnosis #differential ... #hepatology #SAAG
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
HCV RNA • R 2- ... hepatitis: < 1 • Cirrhosis ... • Gilbert's syndrome ... chemistry #diagnosis #differential ... #Hepatology #transaminitis
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential ... vein: Budd-chiari syndrome ... disease: > 2 ... hepatitis: < 1 • Cirrhosis ... diagnosis #algorithm #hepatology
Abnormal liver function tests algorithm.
 This figure details the initial response to abnormal liver blood tests.
/or suspicious clinical ... presence of metabolic syndrome ... disease; T2DM, type 2 ... Abnormal #Algorithm #Hepatology ... #Differential #
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Hepatopulmonary Syndrome ... anatomic shunt (Type 2) ... Clinical Presentation ... with or without cirrhosis ... management #treatment #hepatology
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
• Cytopenia: 2% ... salivary ducts Clinical ... primary biliary cirrhosis ... Lymphoma, Cytopenia: 2% ... phenomenon (16%) MSK