12 results
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Decompensation • Ascites ... • Variceal Bleeding ... • Hepatic Encephalopathy ... Portosystemic Shunt • Liver ... #treatment #management
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
Hypertension - Differential ... of portal HTN: ascites ... portal HTN: • Ascites ... INR, bilirubin, albumin ... sarcoidosis) • Liver
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis
High albumin gradient (>1.1 g/dl):
 - Cirrhosis	
 - Alcoholic
Serum Ascites Albumin ... >1.1 g/dl): - Cirrhosis ... - Massive liver ... failure - Hepatic ... #Differential #
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
Causes of Gallbladder Wall Thickening - Differential Diagnosis
 • Physiologic: Contracted gall bladder in a non-fasting
Causes of Gallbladder ... a non-fasting patient ... heart failure, Liver ... cirrhosis, Nephrotic ... Diagnosis #radiology #POCUS
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
critically ill patient ... reflection on the differential ... variety of other causes ... ultrasound #hepatology #liver ... #pocus #clinical
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Recommended for all inpatients ... as 10 days 2) Albumin ... Any etiology (variceal ... dL and advanced liver ... #prophylaxis #treatment
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
diagnosis and treatment ... Patients with cirrhosis ... out additional causes ... If other causes ... hemochromatosis; HIC, hepatic
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
Lactic Acidosis - Differential ... / hypoxemia -> focus ... perfusion - shock->treatments ... before beginning treatment ... Acidosis #Elevation #Differential