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diagnosis ultrasound echocardiogram cardiology differential management video abdominal neurology a4c algorithm physicalexam msk ophthalmology pulmonary hepatology radiology effusion dermatology lung
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
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
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... and hepatorenal syndrome ... Clues to non-cirrhotic ... Post-Hepatic: • Cardiac causes ... • Budd Chiari syndrome
Spider Angioma on Physical Exam Spider angiomas are an important physical finding of cirrhosis. The size and
physical finding of cirrhosis ... correlate with risk of variceal ... physical findings of cirrhosis ... #PhysicalExam #Clinical
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 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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 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 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
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
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