844 results
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
diff • Total protein ... ascites total protein ... gastroenterology #hepatology
Mechanisms Driving Increased Thrombosis and Bleeding in Liver Disease
Increased Thrombosis 
Increased Platelet-Vesset Wall Interaction 
 •
VIII • Decr Protein ... C, Protein S ... Pathophysiology #Hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
1.1: - Ascitic protein ... metastases - Ascitic protein ... albumin #gradient #hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Hypertension - Protein-poor ... Malnutrition • Protein-losing ... Hypertension - Protein-rich ... Diagnosis #Algorithm #Hepatology
Hepatic Hydrothorax
 • Presents as right sided in 85% of cases
 • Fluid studies:
fluid/serum total protein ... 1.1 g/dL - Protein ... Hydrothorax #diagnosis #hepatology
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Nephrotic syndrome • Protein-losing ... Diagnosis #Algorithm #Hepatology
Acute-phase Reactants Synthesized in the Liver 
Positive acute-phase reactants (concentrations increase with acute inflammation)
 - Immune-related
- C-reactive protein ... Lipopolysaccharide-binding protein ... Retinol-binding protein ... Liver #Synthesis #Hepatology
Tweetorial - What's the deal with Ammonia in hepatic encephalopathy?

Aims
Try to answer this question while also
should not restrict protein ... Cirrhosis #Tweetorial #Hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
considered if: Low protein ... Diagnosis #Management #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
differential, albumin, protein ... of following: protein ... LDH > ULN • Protein ... Management #Summary #Hepatology