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diagnosis hepatology differential algorithm management treatment liver saag albumin bilirubin bloating checklist chemistry classification congenital distension distention encephalopathy gradient grading
Management of Abdominal Distension and Bloating - Treatment Algorithm Definitions Pathophysiology Organic/Pathologic Etiologies: • Small Intestinal Bowel Overgrowth (SIBO)
Obstruction • Ascites ... Disorders of Gut-Brain ... Syndrome • Chronic ... Functional Bloating • Abdomino-phrenic ... Algorithm #Treatment #gastroenterology
Ascites - Differential Diagnosis Chronic liver disease (cirrhosis or chronic hepatitis) - 80% Underlying malignancy - 10% Congestive heart
Ascites - Differential ... Diagnosis Chronic ... or chronic hepatitis ... Fitz-Hugh-Curtis syndrome ... Disease, Fulminant Hepatic
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... (e.g. cirrhosis ... auscultatory percussion, abdominal ... perforation), Serum pro-brain
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... Clues to non-cirrhotic ... portal HTN: • Ascites ... : • Cardiac causes ... #hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... Hypertension - Hepatic ... : • Cirrhosis ... Hypertension - Post-Hepatic ... #causes
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... - Budd-Chiari syndrome ... disease - Cirrhosis ... - Nephrotic syndrome ... #Causes #diagnosis
Causes of Portal Hypertension According to Site of Vascular Obstruction 1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal ... or secondary to cirrhosis ... , Abdominal trauma ... post-sinusoidal: Budd-Chiari syndrome ... #hepatology
Chronic Abdominal Pain Causes - Differential Diagnosis Framework Many patients with chronic abdominal pain have had prior
Chronic Abdominal ... • Irritable bowel ... syndrome • Celiac ... • Inflammatory bowel ... #Diagnosis #gastroenterology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
>1.1 g/dl): - Cirrhosis ... - Fulminant hepatic ... failure - Hepatic ... without cirrhosis ... associated with bowel
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary Diagnosis: • Use a positive diagnostic strategy with
Irritable Bowel ... Syndrome (IBS) - ... Criteria - Recurrent abdominal ... and Hepatology ... IBS #Irritable #Bowel
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