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differential hepatology management algorithm causes biliary cirrhosis criticalcare hypertension injury obgyn obstetrics pocus portal 2 3 acute aflp amyloid amyloidosis
Causes of Acute Liver Injury - Differential Diagnosis Hepatocellular - Liver Parenchyma • Infectious: Hepatitis C, A,
- Differential Diagnosis ... Acute biliary obstruction ... Vasculature • Hepatic ... Congestion/CHF • Hepatic ... Toxic: Medication, Pregnancy
Causes of Portal Hypertension According to Site of Vascular Obstruction 1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Site of Vascular Obstruction ... 1) Prehepatic ... to cirrhosis, Abdominal ... Cirrhosis, Polycystic liver ... #differential #diagnosis
Portal Hypertension Classification by site of vascular obstruction 1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome 2) Intrahepatic Post-sinusoidal: Veno-occlusive disease 3)
site of vascular obstruction ... 1) Post-hepatic ... Cirrhosis, Polycystic liver ... to cirrhosis, Abdominal ... gastroenterology #diagnosis
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... >10 mmHg - clinically ... outflow obstruction ... sarcoidosis) • Liver ... of pregnancy
Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
Female:Male 9:1 ... • AMA titer 1: ... or higher • Liver ... cholestasis of pregnancy ... malignancies, Hepatic
Live Ectopic Pregnancy on Transvaginal POCUS Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Live Ectopic Pregnancy ... patient, severe abdominal ... (see below for diagnosis ... Pearls: #1 Confirm ... #POCUS #clinical
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 Clinical Examination for Liver and Biliary Diseases 1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... for Liver and Biliary ... Diseases 1) Hands ... fluid, Dilated abdominal ... disease #signs #diagnosis
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
of Pregnancy (AFLP ... nausea, vomiting, abdominal ... Antithrombin Ill • Ultrasound ... ) Differential Diagnosis ... #Pregnancy #hepatology
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
- Differential Diagnosis ... Injury: • Hepatic ... Venoocclusive disease • Hepatic ... melanoma, myeloma • Pregnancy ... Intrahepatic - Obstruction
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Insufficiency, Liver ... Medications, Spinal Cord ... Arrhythmia • Obstructive ... Severe auto-PEEP, Abdominal ... Treatment Goals: 1)
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