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diagnosis differential treatment causes saag albumin hematology complications hepatopulmonary hypertension lfts serum summary transaminitis abnormal anemia carcinoma chemistry chronic classification
End Stage Liver Disease (Cirrhosis) - Complications • Ascites • Esophageal Varices • Hepatic
Disease (Cirrhosis ... Complications • Ascites ... (HPS) • Hepatorenal ... #diagnosis #management ... #summary #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
albumin gradient ... protein ≤ 2.5 g/dL: Cirrhosis ... , Massive liver ... #hepatology #differential ... #diagnosis #algorithm
Cirrhosis - Pathophysiology - Ascites Formation - Dilutional Hyponatremia - Hepatorenal Syndrome - Spontaneous Infections #Cirrhosis #Pathophysiology
- Ascites Formation ... Hyponatremia - Hepatorenal ... Syndrome - Spontaneous ... Pathophysiology #hepatology ... #liver
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
) estimated by gradient ... encephalopathy, and hepatorenal ... syndrome Clues ... Ascites protein ... Diagnosis #causes #hepatology
Ascites Differential Diagnosis Table - Serum Ascites Albumin Gradient (SAAG) SAAG ≥ 1.1: • Cirrhosis • Portal
Albumin Gradient ... SAAG ≥ 1.1: • Cirrhosis ... • Portal vein ... • Nephrotic syndrome ... #SAAG #hepatology
Complications of Portal Hypertension • Hepatic Encephalopathy • Pulmonary: Hepatopulmonary syndrome, Portopulmonary hypertension, Hepatic hydrothorax •
Hepatopulmonary syndrome ... hydrothorax • Cirrhotic ... Pancytopenia • Renal: Hepatorenal ... syndrome • Ascites ... Complications #hepatology
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
of Cirrhosis ... of ascites removed ... antibiotics • Hepatorenal ... syndrome - 1g/ ... #hepatology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
>1.1 g/dl): - Cirrhosis ... - Massive liver ... ) - Portal vein ... without cirrhosis ... Differential #Diagnosis #hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Differential Diagnosis Algorithm ... - Hepatic: • Cirrhosis ... disease • Acute liver ... Differential #Diagnosis #Algorithm ... #Hepatology #causes
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Decompensation • Ascites ... Alcoholic Hepatitis • Hepatorenal ... Syndrome • Prognostication ... Portosystemic Shunt • Liver ... diagnosis #treatment #management
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