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diagnosis differential algorithm management treatment cirrhosis injury saag abdominal acute albumin anemia gradient ibs irritable aclf bariatric bileduct bilirubin bloating
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Late Budd-Chiari syndrome ... , Massive liver ... SAAG < 1.1: Biliary ... leak, Nephrotic syndrome ... albumin #gradient #hepatology
Ascites - Differential Diagnosis Chronic liver disease (cirrhosis or chronic hepatitis) - 80% Underlying malignancy - 10% Congestive heart
Diagnosis Chronic ... liver disease ( ... Fitz-Hugh-Curtis syndrome ... Failure, Pancreatic, Biliary ... Differential #Diagnosis #hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... disease • Acute liver ... failure • Primary biliary ... Diagnosis #Algorithm #Hepatology ... #causes
Causes of Biliary Dilatation - Differential Diagnosis • Physiological: ↑ Age, Cholecystectomy, Opioid dependence, Post-sphincterotomy •
Causes of Biliary ... sludge), Mirizzi's syndrome ... Inflammatory: Chronic ... differential #diagnosis #hepatology ... #gastroenterology
Ascites - Diagnostic Approach and Differential Diagnosis The most common causes: cirrhosis, malignancy and heart failure. Approx
The most common causes ... more than one cause ... or biliary perforation ... ), Serum pro-brain ... Differential #Diagnosis #hepatology
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
congenital - Primary biliary ... Nonalcoholic fatty liver ... heart failure (chronic ... #Differential #Hepatology ... #Cirrhosis #Causes
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 Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
for alternative causes ... Benign/malignant biliary ... disorder (e.g. ascites ... ), Chronic hepatitis ... Diagnosis #Algorithm #hepatology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... transplantation Brain ... #ACLF #Acute #Chronic ... #Cirrhosis #Hepatology ... #gastroenterology
Management of Abdominal Distension and Bloating - Treatment Algorithm Definitions Pathophysiology Organic/Pathologic Etiologies: • Small Intestinal Bowel Overgrowth (SIBO)
Small Intestinal Bowel ... Obstruction • Ascites ... Disorders of Gut-Brain ... Syndrome • Chronic ... Algorithm #Treatment #gastroenterology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... and hepatorenal syndrome ... portal HTN: • Ascites ... pregnancy • Primary biliary ... #hepatology
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