18 results
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... Decompensation • Ascites ... • Variceal Bleeding ... Portosystemic Shunt • Liver ... DeanEhrlich_MD #inpatient #Cirrhosis
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... portal HTN: • Ascites ... Post-Hepatic: • Cardiac causes ... sarcoidosis) • Liver ... metastasis • Fatty liver
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... Liver disease ... - Cirrhosis ... - Acute fatty liver ... #Causes #diagnosis
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... - Hepatic: • Cirrhosis ... disease • Acute liver ... amzn.to/2LmUODZ #Ascites ... Algorithm #Hepatology #causes
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes
== Primary Skin Lesions ==
Macules /
Systemic and Primary Causes ... Vesicles/Bullae: • Varicella ... Diabetes Mellitus Liver ... • Cholestatic liver ... #generalized #dermatology
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... Abdominal Ultrasound - POCUS ... #Liver #Gallbladder ... #Gallstone #Ascites ... #Ultrasound #POCUS
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
• Secondary Causes ... deficiency • Liver ... meningitidis - Varicella ... Differential #Diagnosis #hematology ... #nonpalpable #dermatology
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Causes of Gallbladder ... heart failure, Liver ... cirrhosis, Nephrotic ... Diagnosis #radiology #POCUS
Nail Disorders secondary to Systemic Diseases
Nail Fold Abnormality
 • SLE
 • Scleroderma
 • Dermatomyositis
Koilonychia - Spoon-shaped
discoloration) • Liver ... cirrhosis • Congestive ... Systemic #Secondary #dermatology ... Diagnosis #Algorithm #causes
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
skin infection Cirrhosis ... marine microbiota & causes ... 10% Crab, few cases ... sepsis: chronic liver ... rash #cellulitis #dermatology