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diagnosis management chemistry chronic cirrhosis differential failure hbv hepatitisb hepbv indications interpretation lfts rvalue transaminitis
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... months without treatment ... #Acute #Chronic ... #Cirrhosis #Hepatology ... #gastroenterology
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
ALF): • Liver ... hepatocellular injury • Bilirubin ... week • Direct bilirubin ... Elevation: • Bilirubin ... #differential #Hepatology
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
immunosuppression • Acute ... injury (INR > 2, bilirubin ... > 3 mg/dL) or acute ... liver failure ... Indications #management #hepatology
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