63 results
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Liver Disease (Cirrhosis ... Carcinoma (HCC) • Hepatopulmonary ... Syndrome (HPS) ... • Hepatorenal Syndrom ... #ESLD #Liver #Cirrhosis
Complications of Portal Hypertension
 • Hepatic Encephalopathy
 • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax
 •
• Pulmonary: Hepatopulmonary ... syndrome, Portopulmonary ... hydrothorax • Cirrhotic ... Renal: Hepatorenal syndrome
Hepatopulmonary Syndrome - Echocardiogram (A4c) with bubble study showing delayed right-to-left shunt consistent with intrapulmonary shunt
68M
Hepatopulmonary ... Syndrome - Echocardiogram ... with HCV induced cirrhosis ... syndrome (clubbing ... cardiology #clinical #pocus
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
Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
 • Myocardium:
	- Heart failure
	- CAD/ACS
	- Valvulopathy
 • Electrical:
	-
Cardiovascular Causes ... Tamponade Pulmonary Causes ... Vasculitis - Hepatopulmonary ... syndrome Other ... Causes of Dyspnea
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