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diagnosis differential hematology abnormal aptt management prolonged pt treatment abdominal abscess bleeding bruising clinical complex dic disseminated distribution gap globulin
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... Decompensation • Ascites ... • Variceal Bleeding ... Encephalopathy 2) Manage Common ... Portosystemic Shunt • Liver
Purpura - Differential Diagnosis Framework Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
vascular disorders, coagulation ... Platelet defects • Coagulation ... deficiency • Liver ... meningitidis - Varicella ... #nonpalpable #dermatology
Differential Diagnosis for a Prolonged PT and aPTT If the PT and the aPTT are both prolonged,
deficiency in the common ... inhibitors to the common ... • Reduced liver ... #differential #hematology ... #coagulation
Causes of Abnormal PT and/or aPTT Prolonged Prothrombin Time (PT) 1. Acquired deficiency of FVII
Causes of Abnormal ... Early liver disease ... inhibitors to the common ... Reduced liver synthesis ... #differential #hematology
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
or venipuncture sites ... DIC • Severe Liver ... Treat primary cause ... #diagnosis #causes ... treatment #management #hematology
Bleeding and Bruising - Disorders of Hemostasis - Differential Diagnosis Framework == Quantitative or Qualitative defect in
inhibitor of a coagulation ... intravascular coagulation ... defects in the common ... discern these causes ... Differential #Diagnosis #Hematology
Complex Ascites on POCUS 62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
on POCUS 62 yo ... F with rec dx colon ... s/p colectomy, liver ... cirrhosis w ascites ... POCUS performed
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 Common Dermatological Conditions - Distribution and Morphology • Acne vulgaris - Face, upper back, chest -
Common Dermatological ... honey-colored crusts ... often painful) • Varicella ... ; pruritis #dermatology ... diagnosis #skin #common
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4) Work-up of an Elevated Globulin Gap: •
Causes of Monoclonal ... Sarcoidosis) • Liver ... disease: Cirrhosis ... gastric tumors • Hematology ... Comment on type
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