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diagnosis differential hematology liver injury hepatitis hepatopulmonary saag barre chemistry classification coagulation dic dili disseminated diuresis diuretics druginduced excretion gap
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
8g per liter of ascites ... removed • Acute ... • Hepatorenal syndrome ... #Cirrhosis #treatment ... #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Serum Ascites Albumin ... >1.1 g/dl): - Cirrhosis ... - Alcoholic hepatitis ... Veno-occlusive disease - Acute ... Differential #Diagnosis #hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Causes of Ascites ... Differential Diagnosis Algorithm ... - Hepatic: • Cirrhosis ... Infiltrative disease • Acute ... #Hepatology #causes
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... Clues to non-cirrhotic ... INR, bilirubin, albumin ... /acute hepatitis ... #hepatology
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Causes of Ascites ... disease - Cirrhosis ... - Alcoholic ... fibrosis - Acute ... #differential #hepatology
Causes of Acute Liver Injury - Differential Diagnosis Hepatocellular - Liver Parenchyma • Infectious: Hepatitis C, A,
Causes of Acute ... obstruction, HELLP Syndrome ... Malignancy, 1° PBC ... #Acute #algorithm ... #hepatology
Hepatorenal Syndrome - Diagnosis and Management Summary Who gets HRS? • Decompensated cirrhosis • Typically with existing
Hepatorenal Syndrome ... Diagnosis and Management ... Decompensated cirrhosis ... with existing ascites ... : Medications, Alcohol
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Vascular Causes ... vein: Budd-chiari syndrome ... ALT Ratios: • Alcoholic ... hepatitis: < 1 • Cirrhosis ... #hepatology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
blasts and high WBC ... count cause hyperviscosity ... - ACS, AKI, acute ... TLS #diagnosis #management ... #hematology
Management of Hyponatremia Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125 Give
Management of Hyponatremia ... • Cirrhosis - ... Correct K & Albumin ... #Management #algorithm ... #treatment #sodium
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