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diagnosis hepatology management acidosis algorithm amebic cardiology children classification elevation endocarditis entamoebahistolytica fever hepaticabscess hypertension immune infections infectiousdiseases inflammatory inpatient
Liver Abscess • Pyogenic abscess, accounts for 80% of abscess. • Amebic abscess due to Entamoeba histolytica, accounts for 10%. • Fungal
Liver Abscess • ... Pyogenic abscess ... • Right hepatic ... • Pyogenic abscesses ... • Pyogenic Abscess
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... of portal HTN: ascites ... portal HTN: • Ascites ... : • Cardiac causes ... #Diagnosis #causes
Hepatic Abscess: Microbiology Common Pathogens: E. Coli, K. pneumoniae, Staphylococcus aureus, Streptococcus pyogenes Rare pathogens that can cause
Hepatic Abscess: ... Streptococcus pyogenes ... hepatic abscesses ... #diagnosis #differential ... #causes #liver
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Decompensation • Ascites ... • Variceal Bleeding ... • Hepatic Encephalopathy ... Portosystemic Shunt • Liver ... #diagnosis #treatment
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... Liver disease ... - Cirrhosis ... #Causes #diagnosis ... #differential #
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... - Differential ... Hypertension - Hepatic ... : • Cirrhosis ... disease • Acute liver
Pyogenic liver abscess in children Common bacterial causes in children: • S.aureus • Strep spp • Enteric
Pyogenic liver abscess ... Common bacterial causes ... through: - Hepatic ... #liver #abscess ... children #peds #differential
Fever Patterns - Differential Diagnosis Framework Continuous Fever: Temp > 38°C with only 1 degree fluctuation in 24
Fever Patterns - Differential ... to normal • Pyogenic ... Non-Infectious Causes ... Endocarditis • Hepatic ... Brucellosis • Liver
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... / hypoxemia -> focus ... perfusion - shock->treatments ... assessment - assess ... before beginning treatment
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... Pyogenes, Enterococci ... tumor embolism Septic ... hematuria, + RF Treatment ... #Endocarditis #Differential
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