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diagnosis differential algorithm hepatology clinical hyponatremia nephrology cardiology ultrasound pulmonary a4c echocardiogram hematology management physicalexam sodium table classification dermatology hepatopulmonary
Classification of Jaundice Unconjugated hyperbilirubinemia (predominantly indirect bilirubin) • Increased bilirubin production (eg, hemolytic anemias, hemolytic reactions,
cholestasis, and some cases ... hepatitis, hepatic cirrhosis ... drugs, biliary cirrhosis ... miscellaneous causes ... #differential #causes
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... • Ascites • Variceal ... • Hepatorenal Syndrome ... DeanEhrlich_MD #inpatient #Cirrhosis
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
and hepatorenal syndrome ... Clues to non-cirrhotic ... Post-Hepatic: • Cardiac causes ... • Budd Chiari syndrome ... Primary biliary cirrhosis
Common Etiologies of Cirrhosis Inflammation - Hepatitis B (15 percent) - Hepatitis C (47 percent) - Schistosomiasis
Etiologies of Cirrhosis ... Primary biliary cirrhosis ... disease (Budd-Chiari syndrome ... Differential #Hepatology #Cirrhosis ... #Causes
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 Causes of Generalized Edema - Differential Diagnosis Algorithm Overfill (Increased renal sodium retention, Urine Na > 40meq/L)
Causes of Generalized ... • Nephrotic Syndrome ... • Nephrotic syndrome ... • Cirrhosis ... Diagnosis #Algorithm #Causes
Upper and Lower Causes of GI Bleed Upper: • Esophagus: Tear (Mallory Weiss, Boerhaave syndrome), Variceal, Esophagitis,
Upper and Lower Causes ... Weiss, Boerhaave syndrome ... ), Variceal, Esophagitis ... Hpylori), Gastritis, Variceal ... differential #diagnosis #Causes
Causes of Portal Hypertension According to Site of Vascular Obstruction 1) Prehepatic pre-sinusoidal: Portal vein thrombosis due
Causes of Portal ... or secondary to cirrhosis ... 3) Sinusoidal: Cirrhosis ... post-sinusoidal: Budd-Chiari syndrome ... differential #diagnosis #causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... heart failure • Cirrhosis ... • Nephrotic syndrome ... Diagnosis #Algorithm #Causes
Causes of Pleural Effusion - Differential Diagnosis Algorithm Transudate - Hydrostatic • Congestive heart failure • Constrictive
Causes of Pleural ... Superior vena cava syndrome ... - Oncotic • Cirrhosis ... • Nephrotic syndrome ... Algorithm #Hepatology #causes
Causes of Hyponatremia - Differential Diagnosis Algorithm Syndrome of Inappropriate ADH - Euvolemic; no physiologic stimulus to
Causes of Hyponatremia ... Diagnosis Algorithm Syndrome ... heart failure • Cirrhosis ... • Nephrotic syndrome ... Diagnosis #Algorithm #Causes
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