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diagnosis management differential algorithm liver oncology pulmonary hepatitis anemia cardiology cirrhosis endocarditis gastroenterology hepatopulmonary product reactions syndrome syndromes abscess aclf
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
months without treatment ... underlying liver disease ... Lung Failure ... Drug-Induced Liver Injury ... #Cirrhosis #Hepatology
Causes of Pleural Effusion - Differential Diagnosis Algorithm Transudate - Hydrostatic • Congestive heart failure • Constrictive
Causes of Pleural ... Congestive heart failure ... Pneumonectomy • Trapped lung ... • Postcardiac injury ... Diagnosis #Algorithm #Hepatology
Reticulocyte Production Index = (Retic %) x (Hct / 45) / Maturation Factor The maturation factor is
approximately how long ... the peripheral blood ... kidney disease, ... • Bone marrow failure ... Production #Index #hematology
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
non-essential drug/HDS treatments ... for alternative causes ... Alcohol-related liver disease ... e.g. ascites), Chronic ... Diagnosis #Algorithm #hepatology
Lung Abscess - Diagnosis and Management Summary Lung Abscess Etiology: • Necrosis of lung parenchyma by a
• Most common cause ... pneumonia • Chronic ... anemia • Sputum/Blood ... seen • Chest CT ... #differential #causes
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Algorithm Vascular Causes ... CA, small cell lung ... : > 3 • Chronic ... intestines, white blood ... diagnosis #algorithm #hepatology
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation causes ... bronchial wall injury ... high-resolution chest CT ... abnormal in adults • Blood ... mycobacteria Treatment
Common Variable Immunodeficiency (CVID) What? CVID: Immunodeficiency disorder with hypogammaglobulinemia -> increased infection risk secondary to impaired B-cell
Autoimmunity • Chronic ... lung disease ... Chest CT: • Ground-glass ... DDX - Other causes ... hypogammaglobulinemia #immunology #hematology
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Identify Acute Liver Failure ... of cholestatic disease ... : > 3 • Chronic ... intestines, White blood ... #differential #Hepatology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
verrucous) • Lung ... , Pancreas, Gastric ... Microbiology: Blood ... Injury By: • Early ... • Blood cultures
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