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differential algorithm causes management albumin saag gradient treatment complications hepatopulmonary hrs hypertension injury portal rheumatology serum table workup activation anemia
Cirrhosis - Pathophysiology - Ascites Formation - Dilutional Hyponatremia - Hepatorenal Syndrome - Spontaneous Infections #Cirrhosis #Pathophysiology
- Ascites Formation ... Hyponatremia - Hepatorenal ... Syndrome - Spontaneous ... Pathophysiology #hepatology ... #liver
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Disease (Cirrhosis ... Complications • Ascites ... (HPS) • Hepatorenal ... #diagnosis #management ... #summary #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... protein ≤ 2.5 g/dL: Cirrhosis ... , Massive liver ... albumin #gradient #hepatology ... #differential #diagnosis
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Management of Cirrhosis ... of ascites removed ... antibiotics • Hepatorenal ... syndrome - 1g/ ... #treatment #hepatology
Hepatorenal Syndrome (HRS) - Diagnostic Criteria HRS-AKI (Acute: previously known as HRS Type 1) • ↑ Creatinine
Hepatorenal Syndrome ... (HRS) - Diagnostic ... drkeithsiau #HRS #Hepatorenal ... #Syndrome #diagnosis ... HRSAKI #HRSNAKI #hepatology
Complications of Portal Hypertension • Hepatic Encephalopathy • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax •
hydrothorax • Cirrhotic ... Pancytopenia • Renal: Hepatorenal ... syndrome • Ascites ... Complications #hepatology ... #diagnosis
Ascites - Differential Diagnosis Chronic liver disease (cirrhosis or chronic hepatitis) - 80% Underlying malignancy - 10% Congestive heart
Ascites - Differential ... Diagnosis Chronic ... liver disease ( ... Fitz-Hugh-Curtis syndrome ... #hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... of portal HTN: ascites ... encephalopathy, and hepatorenal ... syndrome Clues ... #causes #hepatology
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Decompensation • Ascites ... Alcoholic Hepatitis • Hepatorenal ... Syndrome • Prognostication ... Portosystemic Shunt • Liver ... #diagnosis #treatment
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Diagnosis Table ... SAAG ≥ 1.1: • Cirrhosis ... • Nephrotic syndrome ... #Differential #Diagnosis ... Gradient #SAAG #hepatology
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