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diagnosis differential hepatology management algorithm classification elevation hepatopulmonary hps hypertension immune inflammatory inpatient iris lactate lactic portal reconstitution rheumatology saag
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Decompensation • Ascites ... • Variceal Bleeding ... • Hepatic Encephalopathy ... • Hepatorenal Syndrome ... #diagnosis #treatment
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... and hepatorenal syndrome ... Clues to non-cirrhotic ... portal HTN: • Ascites ... sarcoidosis) • Liver
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... - Budd-Chiari syndrome ... Liver disease ... - Cirrhosis ... #Causes #diagnosis
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... Hypertension - Hepatic ... : • Cirrhosis ... disease • Acute liver ... Hypertension - Post-Hepatic
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis The most common causes of hyperlactatemia are usually:
glucose by the liver ... / hypoxemia -> focus ... perfusion - shock->treatments ... before beginning treatment ... - Compartment syndrome
Hepatopulmonary Syndrome - Illness Script HPS is a pulmonary disorder of chronic liver disease characterized by a
arteriovenous shunting causes ... • Stigmata of cirrhosis ... : jaundice, ascites ... the left heart TREATMENT ... #cirrhosis #diagnosis
Sjogren's Syndrome Overview Epidemiology: • F > M: 9:1 • 5-6th Decades (can be any age) Autoimmune exocrinopathy multisystemic disease
Hypocomplementemia • Can cause ... vasculitis: 10%-16% Liver ... primary biliary cirrhosis ... renal tubular acidosis ... Adenocarcinoma Treatment
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS What Is IRIS? • A state of hyperinflammatory response that
Reconstitution Inflammatory Syndrome ... ulceration • Varicella ... • HBV, HCV - Hepatic ... progression of cirrhosis ... #Inflammatory #Syndrome
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