685 results
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Principles Low Salt ... Management #cirrhosis #hepatology
Biliary Circulation
1) Bile produced in the liver
2) Bile stored in the gallbladder
3) Bile excreted into the
5) 95% of bile salts ... Remaining 5% of bile salts ... Re-absorbed bile salts ... #Circulation #hepatology
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
R-value: Serum (ALT ... /ULN ALT) / (Alk ... to liver than ALT ... Cholestasis/Bile salts ... #differential #Hepatology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
to liver than ALT ... • ALT: Specific ... Cholestasis/Bile salts ... - ALP > AST/ALT ... diagnosis #algorithm #hepatology
Types of Bariatric Surgery
Adjustable Gastric Banding:
 • Decreasing in prevalence, 3% of bariatric surgeries performed
 •
bypass of bile salts ... Gastroenterology and Hepatology
Liver Enzymes (LFTs) - Causes of Hepatocellular and Cholestatic Liver Injury
Hepatocellular Liver Injury
 • AST/ALT elevation
Injury • AST/ALT ... > Alk phos • ALT ... • R value = (ALT ... + ULN ALT) / (alkaline ... #differential #hepatology
Liver Function Test (LFTs) Elevation
AST - Cardiac and skeletal muscle, kidney, brain
ALT - More specific for
kidney, brain ALT ... Alkaline Phosphatase, ALT ... ULN R Value = (ALT ... / ULN ALT) / (ALP ... Transaminitis #diagnosis #hepatology
Abnormal Liver Function Tests - Differential Diagnosis Algorithm for Transaminitis
Hepatocellular Pattern (ALT or AST > ALP):
: • Severe - ALT ... • Moderate - ALT ... Others • Mild - ALT ... Pattern (ALP > ALT ... Algorithm #diagnosis #hepatology
Elevated Liver Enzymes - Differential Diagnosis Algorithm
Severe ALT > 15x ULN
 • Viral
 • Drugs/Toxins
 •
Algorithm Severe ALT ... HELLP Moderate ALT ... • Others Mild ALT ... Others #LFTs #Hepatology
The SALT Mass Casualty Triage Approach
 - SALT stands for “Sort, Assess, Lifesaving interventions, and Treatment
The SALT Mass Casualty ... Triage Approach - SALT ... Management #Disaster #SALT