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differential hepatology causes management pocus algorithm ascites biliary hypertension portal syndrome 3 abscess amyloid amyloidosis chemistry cholangitis classification complex criticalcare
Causes of Portal Hypertension According to Site of Vascular Obstruction 1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Site of Vascular Obstruction ... 1) Prehepatic ... , Abdominal trauma ... including surgery 2) ... , Polycystic liver
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 ... Budd-Chiari syndrome 2) ... , Polycystic liver ... , Abdominal trauma
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
Clinical Examination for Liver and Biliary Diseases 1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Clinical Examination ... Diseases 1) Hands ... Palmar erythema 2) ... fluid, Dilated abdominal ... #signs #diagnosis
Primary Biliary Cirrhosis (PBC) - Summary PBC Epidemiology: • Female:Male 9:1 • Common European descent • Age:
Female:Male 9:1 ... /Liver failure ... • AMA titer 1: ... cholestasis of pregnancy ... malignancies, Hepatic
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
> 1.1 g/dL) 1. ... Liver disease ... - Cirrhosis ... of pregnancy ... Ascites #Causes #diagnosis
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Cholestasis / Obstructive ... - elevation Obstruction ... replaced by non-hepatic ... • Cirrhosis: > ... #chemistry #diagnosis
Live Ectopic Pregnancy on Transvaginal POCUS Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Live Ectopic Pregnancy ... patient, severe abdominal ... Pearls: #1 Confirm ... an IUP or not. #2 ... #POCUS #clinical
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 Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
- Differential Diagnosis ... melanoma, myeloma • Pregnancy ... Intrahepatic - Obstruction ... disease: > 2 ... • Cirrhosis: >
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
Insufficiency, Liver ... Medications, Spinal Cord ... Arrhythmia • Obstructive ... Treatment Goals: 1) ... MAP > 60-65 2)
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