31 results
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... 5.3), peripheral edema ... ) / absence of edema ... Differential #Diagnosis #hepatology
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Management of Cirrhosis ... 8g per liter of ascites ... Indications #Management #Cirrhosis ... #treatment #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... to non-cirrhotic ... portal HTN: • Ascites ... Primary biliary cirrhosis ... #hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... - Hepatic: • Cirrhosis ... amzn.to/2LmUODZ #Ascites ... Diagnosis #Algorithm #Hepatology ... #causes
Hepatorenal Syndrome (HRS) - Diagnostic Criteria
HRS-AKI (Acute: previously known as HRS Type 1)
 • ↑ Creatinine
+ ascites • No ... - No other cause ... - No other cause ... + ascites Dr. ... HRSAKI #HRSNAKI #hepatology
Causes of Arterial and Venous Thrombosis - Differential Diagnosis Framework

STRUCTURAL:
 - PFO: paradoxical emboli
 - Popliteal
Causes of Arterial ... artery aneurysm: Causes ... thrombosis and other sites ... neoplasms - PNH ... Diagnosis #clots #hematology
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... disease - Cirrhosis ... - Bile ascites ... #Causes #diagnosis ... #differential #hepatology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
failure, liver cirrhosis ... failure, liver cirrhosis ... Kidney stones caused ... Tolvaptan) • Treatment ... Excretion #Diuresis #Nephrology
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
or venipuncture sites ... + Bleeding Treatment ... Treat primary cause ... #treatment #management ... #hematology
Management of SIADH
Treat underlying cause:
 • Causes can include pain, primary lung pathology, post-operative phenomenon, medications,
: • Causes can ... Contraindicated in cirrhosis ... bolus of 0.9% NS ... #hyponatremia #nephrology ... #treatment