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diagnosis hepatology differential algorithm rheumatology causes dermatology gastroenterology nephrology pathophysiology signs albumin classification complications hepatitis injury oncology photo physicalexam saag
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
End Stage Liver ... Disease (Cirrhosis ... Complications • Ascites ... (HRS) • Liver ... SBP) #ESLD #Liver
Cirrhosis - Pathophysiology - Ascites Formation - Dilutional Hyponatremia - Hepatorenal Syndrome - Spontaneous Infections #Cirrhosis #Pathophysiology
Cirrhosis - Pathophysiology ... - Ascites Formation ... - Hepatorenal Syndrome ... Pathophysiology #hepatology ... #liver
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
protein ≤ 2.5 g/dL: Cirrhosis ... Late Budd-Chiari syndrome ... , Massive liver ... leak, Nephrotic syndrome ... albumin #gradient #hepatology
Ascites - Differential Diagnosis Chronic liver disease (cirrhosis or chronic hepatitis) - 80% Underlying malignancy - 10% Congestive heart
Ascites - Differential ... Diagnosis Chronic liver ... disease (cirrhosis ... failure - 3-5% Cirrhosis ... Fitz-Hugh-Curtis syndrome
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
- Budd-Chiari syndrome ... Liver disease ... - Cirrhosis ... - Acute fatty liver ... - Nephrotic syndrome
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... of portal HTN: ascites ... portal HTN: • Ascites ... sarcoidosis) • Liver ... metastasis • Fatty liver
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic Liver ... Failure (ACLF) Clinical ... months without treatment ... disease, liver ... support, or liver
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
of Cirrhosis ... of ascites removed ... • Hepatorenal syndrome ... #Cirrhosis #treatment ... #hepatology
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Decompensation • Ascites ... • Hepatorenal Syndrome ... Portosystemic Shunt • Liver ... #diagnosis #treatment ... #management
Clinical Examination for Liver and Biliary Diseases 1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... for Liver and Biliary ... Aspiration of ascitic ... #physicalexam #cirrhosis ... #liver #disease
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