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differential management ascites causes cirrhosis hepatopulmonary saag algorithm gradient hepatic hps pulmonary rheumatology treatment arterial chemistry complications cryofibrinogenemia dermatology embolism
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Hepatopulmonary Syndrome ... • Hepatorenal Syndrom ... • Spontaneous Bacterial ... Complications #diagnosis ... management #summary #hepatology
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... • Spontaneous Bacteria ... • Hepatorenal syndrome ... terlipressin #Albumin ... Cirrhosis #treatment #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... serum ascites albumin ... , Massive liver ... SAAG #ascites #albumin ... #gradient #hepatology
Hepatopulmonary Syndrome (HPS) HPS-differential diagnosis: 1. Pulmonary vasculature 2. Diseases of the lung parenchyma 3. Pleura and diaphragm HPS-diagnosis: 1. Patients
Hepatopulmonary Syndrome ... Patients with liver ... Alveolar-arterial ... Hepatopulmonary #Syndrome ... #HPS #hepatology
Hepatomegaly - Differential Diagnosis Algorithm Malignant • Primary Carcinoma • Metastases • Lymphoma • Leukemia • Polycythemia
- Differential Diagnosis ... Non-Malignant • Fatty Liver ... • Budd-Chiari Syndrome ... Tuberculosis • Bacterial ... Algorithm #Causes #Hepatology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management Ascites PMN > 250/mm3 ? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial ... Peritonitis (SBP) - Diagnosis ... response Give IV albumin ... dysfunction or liver ... #Management #hepatology
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
Hepatorenal Syndrome ... • ↓ Effective arterial ... - IV albumin ... #Hepatorenal #Syndrome ... #Hepatology #Nephrology
Hemolysis - Differential Diagnosis Framework 1) Environment - Fragmentation - MAHA: TTP, HUS, DIC, HELLP
- Differential Diagnosis ... Drug-associated, PCH ... , Evans Syndrome ... Defects, Drugs, Liver ... #hematology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... and hepatorenal syndrome ... INR, bilirubin, albumin ... sarcoidosis) • Liver ... #causes #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
- Differential Diagnosis ... ascites - Massive liver ... - Acute fatty liver ... #Differential #Diagnosis ... #hepatology
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