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diagnosis cirrhosis differential oncology albumin causes liver rheumatology algorithm gastroenterology gradient hemeonc hemophagocytic hepatopulmonary hlh lymphohistiocytosis aclf activation acute aflp
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient (SAAG ... ) SAAG ≥ 1.1: ... Late Budd-Chiari syndrome ... , Massive liver ... #gradient #hepatology
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
- Budd-Chiari syndrome ... Liver disease ... - Acute fatty liver ... - Nephrotic syndrome ... #differential #hepatology
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Complications • Ascites ... Hepatopulmonary Syndrome ... • Hepatorenal Syndrom ... Complications #diagnosis #management ... #summary #hepatology
Hypereosinophilia and Hypereosinophilic Syndrome • Secondary Hypereosinophilic Syndrome • Clinically Relevant HES Variants • When to
• Clinically ... suspect underlying hematologic ... Diagnosis and Treatment ... #HES #Hematology ... eosinophils #diagnosis #management
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Gradient (SAAG) ... thrombosis (Budd-Chiari syndrome ... cirrhosis - Nephrotic syndrome ... ischemia/infarction #SAAG ... Differential #Diagnosis #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... of portal HTN: ascites ... (SAAG>I.I), esophageal ... portal HTN: • Ascites ... Diagnosis #causes #hepatology
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... 8g per liter of ascites ... • Hepatorenal syndrome ... #Cirrhosis #treatment ... #hepatology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Failure (ACLF) Clinical ... months without treatment ... Hepatitis Procedures Management ... Failure #Cirrhosis #Hepatology ... gastroenterology #management
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
develops (DIC, ascites ... Intrahepatic Cholestasis Management ... Maternal Support - Critical ... #Pregnancy #hepatology ... obgyn #diagnosis #management
Macrophage Activation Syndrome (MAS) Classified among the secondary or acquired forms of haemophagocytic lymphohistiocytosis (sHLH) What? A subset of
Clinical Presentation ... Fever is the main clinical ... Treatment: • Corticosteroids ... #Diagnosis #Management ... #Hematology #Rheumatology
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