43 results
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver ... Carcinoma (HCC) • Hepatopulmonary ... Syndrome (HPS) ... • Hepatorenal Syndrom ... management #summary #hepatology
Hepatopulmonary Syndrome (HPS) 

HPS-differential diagnosis:
1. Pulmonary vasculature
2. Diseases of the lung parenchyma
3. Pleura and diaphragm

HPS-diagnosis:
1. Patients
Hepatopulmonary ... Syndrome (HPS) ... HPS-differential ... Patients with liver ... #hepatology #pulmonary
Hepatopulmonary Syndrome on Echocardiogram (A4C)
Hepatopulmonary Syndrome: Intrapulmonary shunting is most commonly demonstrated by contrast TTE when
Hepatopulmonary ... Syndrome on Echocardiogram ... (A4C) Hepatopulmonary ... bubble #shunting #hepatology ... #clinical
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Dyspnea - Differential ... Vasculitis - Hepatopulmonary ... syndrome Other ... Transverse myelitis • Hematology ... #dyspnea #sob #differential
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Late Budd-Chiari syndrome ... , Massive liver ... leak, Nephrotic syndrome ... albumin #gradient #hepatology ... #differential #
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic liver ... Fitz-Hugh-Curtis syndrome ... <1% #Ascites #Differential ... #Diagnosis #hepatology
Elevated Transaminases / Transaminitis - Differential Diagnosis

 • Infectious: HAV, HCV, HEV, EBV, HSV, CMV
 •
Transaminitis - Differential ... Trauma: Shock liver ... Vascular: Budd-chiari syndrome ... Sinusoidal obstruction syndrome ... Diagnosis #causes #hepatology
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M
Hepatopulmonary ... Syndrome - Echocardiogram ... syndrome (clubbing ... intrapulmonary #cardiology #clinical ... #pocus #hepatology
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
Nonalcoholic fatty liver ... disease (Budd-Chiari syndrome ... #Diagnosis #Differential ... #Hepatology #Cirrhosis
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Hepatomegaly - Differential ... Non-Malignant • Fatty Liver ... • Budd-Chiari Syndrome ... #Hepatomegaly #Differential ... Algorithm #Causes #Hepatology