18 results
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Complications of Cirrhosis ... Ascites Workup Algorithm ... Hydrothorax AKI in Cirrhosis ... TinaPhamHang #Cirrhosis ... gastroenterology #hepatology
Ascites - Differential Diagnosis and Workup Algorithm

•
Perform paracentesis:
 • Cell count and diff 
 • Total
Ascites - Differential ... Diagnosis and Workup ... WBC and PMN • ... SAAG and check ascites ... gastroenterology #hepatology
Portosystemic collaterals in Cirrhosis

Milking abdominal veins demonstrates centrifugal blood flow in caput medusae.

Dr. Boby Varkey Maramattom
collaterals in Cirrhosis ... Milking abdominal ... caput #medusae #clinical ... #physicalexam #cirrhosis ... #hepatology
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
common causes: cirrhosis ... one cause (e.g. cirrhosis ... auscultatory percussion, abdominal ... #workup #Differential ... #Diagnosis #hepatology
Ascites Management Principles
Low Salt Diet - 2000 Mg Sodium
Fluid Restriction - Never
Work-horse Diuretic - Aldosterone Antagonist
Combination
Ascites Management ... Restriction - Never Work-horse ... @ebtapper #Ascites ... #Management #cirrhosis ... #hepatology
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... of portal HTN: ascites ... Clues to non-cirrhotic ... portal HTN: • Ascites ... Diagnosis #causes #hepatology
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary Cirrhosis ... cholestasis → Cirrhosis ... Primary #Biliary #Cirrhosis ... #diagnosis #workup ... #hepatology
Demonstrating Rostral Venous Flow of Caput Medusae in Portal Hypertension

We do the milking method as depicted
PhysicalExam #Milking #abdominal ... #clinical #video ... direction #veins #cirrhosis ... #hepatology
Milking abdominal veins - Demonstrating centrifugal blood flow in caput medusae

#Milking #abdominal #veins #caput #medusae #clinical
Milking abdominal ... medusae #Milking #abdominal ... caput #medusae #clinical ... #physicalexam #cirrhosis ... #hepatology
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
nausea, vomiting, abdominal ... develops (DIC, ascites ... Maternal Support - Critical ... Liver #Pregnancy #hepatology