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diagnosis hepatology aclf cardiology chronic diet disease endocarditis failure fungal gastroenterology igg4 infections infectiousdiseases liver mycoses nutrition pathophysiology phenotypes related
IgG4-Related Disease Clinical history: Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor 4 phenotypes: •
IgG4-Related Disease ... biliary, renal, lung ... concentration PET-CT ... hypergammaglobulinemia, ↑ acute ... #diagnosis #management
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... those with CLD (± cirrhosis ... underlying liver disease ... Brain Failure Lung ... Liver #Failure #Cirrhosis
Nutrition in Cirrhosis: Dos and Don’ts Screening: • Patients at risk for RFH-Nutritional Prioritizing Tool • Low
Nutrition in Cirrhosis ... Anthropometry, CT ... pattern (avoiding long ... detrimental effect of long ... #diet #management
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Congenital heart disease ... verrucous) • Lung ... , Pancreas, Gastric ... Culture (+): Acute ... Endocarditis #diagnosis #management
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
presents with acute ... , neutropenia, cirrhosis ... change in the lungs ... nails, bronchi, lungs ... Fungal #Diagnosis #Management
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