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diagnosis differential hepatology algorithm treatment clinical dermatology hematology classification nephrology rheumatology systemic endocrinology gastroenterology ultrasound abnormal ascites fingernails generalized hemochromatosis
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Disease (Cirrhosis ... Hepatopulmonary Syndrome ... • Hepatorenal Syndrom ... #Cirrhosis #Complications ... #diagnosis #management
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... • Ascites • Variceal ... • Hepatorenal Syndrome ... Portosystemic Shunt • Liver ... diagnosis #treatment #management
Causes of Portal Hypertension According to Site of Vascular Obstruction 1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal ... procoagulopathy or secondary ... to cirrhosis, Abdominal ... , Polycystic liver ... post-sinusoidal: Budd-Chiari syndrome
Pruritus - Generalized Differential Diagnosis Algorithm - Systemic and Primary Causes == Primary Skin Lesions == Macules /
Systemic and Primary Causes ... Vesicles/Bullae: • Varicella ... • Cholestatic liver ... Myelodisplastic syndrome ... Pruritus #primary #secondary
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
and hepatorenal syndrome ... Clues to non-cirrhotic ... • Budd Chiari syndrome ... sarcoidosis) • Liver ... metastasis • Fatty liver
Abnormal Lipid Profiles - Differential Diagnosis Algorithm Increased Cholesterol and Triglycerides - Genetic Causes
Syndrome • ... LDLr deficiency Secondary ... • Obstructive Liver ... • Nephrotic Syndrome ... Deficiency - Secondary
Causes of Secondary IgA Nephropathy - Differential Diagnosis Algorithm • GI disorders: Celiac disease, Crohn's disease,
Causes of Secondary ... Ulcerative Colitis • Liver ... disease: Alcoholic Cirrhosis ... @kdjhaveri #Secondary ... #Nephropathy #Causes
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
Etiologies of Cirrhosis ... Primary biliary cirrhosis ... Nonalcoholic fatty liver ... disease (Budd-Chiari syndrome ... #Causes
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 Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... of Cirrhosis ... • Hepatorenal syndrome ... #Indications #Management ... #Cirrhosis #treatment
Upper GI Bleed - Management Algorithm Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR Initial Stabilization Concern for
Upper GI Bleed - Management ... Stabilization Concern for Liver ... Consult GI ± EGD Causes ... Ulcer Disease • Variceal ... GAVE (idiopathic, liver
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