131 results
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
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
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
Takotsubo Cardiomyopathy - Right Ventricular Involvement 

In up to 1/4 of cases of stress cardiomyopathy (takotsubo),
In up to 1/4 of cases ... #BrokenHeart #Syndrome ... #Echocardiogram ... A4C #Clinical #POCUS
Takotsubo Cardiomyopathy on POCUS Echocardiogram

Patient is in shock. POCUS RUSH exam shows the shock is cardiogenic.
Cardiomyopathy on POCUS ... Echocardiogram ... POCUS RUSH exam ... #BrokenHeart #Syndrome ... #Echocardiogram
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