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diagnosis hepatology differential causes hepatitis aflp ascites echinococcus hypertension nejm obstetrics pathophysiology radiology saag ah aih albumin alcoholic amyloid amyloidosis
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... of Pregnancy (AFLP ... : • Defect in fetal ... Maternal Support - Critical ... #Liver #Pregnancy
Liver Disease in Pregnancy Intrahepatic Cholestasis of Pregnancy (ICP) • Onset/Trimester: 25-32 weeks • Typical clinical features:
weeks • Typical clinical ... Hepatic imaging: Normal ... hemorrhage Acute Fatty ... Liver of Pregnancy ... Hepatic imaging: Fatty
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... >10 mmHg - clinically ... sarcoidosis) • Liver ... metastasis • Fatty ... liver of pregnancy
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Peritoneum Portal ... Liver disease ... - Acute fatty ... liver of pregnancy ... Portal vein occlusion
Venous Thrombosis vs Arterial Thrombosis - Differential Diagnosis Framework VENOUS THROMBOSIS • Acquired Risk Factors: - >48 hours
Intravenous Drug Use • Pregnancy ... • Drugs: - Oral ... Syndrome, Ischemic Liver ... from prosthetic valves ... Infected cardiac valves
Clinical diagnosis of Alcoholic Hepatitis (AH) • Onset of jaundice within prior 8 weeks • Ongoing
Clinical diagnosis ... >1.5, and both values ... IU/L • Serum total ... ) or metabolic liver ... Possible drug-induced liver
Echinococcal Cysts in the Liver- The physical examination revealed hepatomegaly with a palpable hepatic mass. Laboratory
Echinococcal Cysts in the Liver ... right lobe of the liver ... value, ≤11). ... #clinical #NEJM ... echinoccocal #cyst #liver
Clinical Diagnosis of Autoimmune Hepatitis - Onset of jaundice within prior 8 weeks - Ongoing consumption
Clinical Diagnosis ... >1.5, and both values ... <400 - Serum total ... ) or metabolic liver ... Possible drug-induced liver
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
ascites - Massive liver ... syndrome) - Portal ... disease - Acute fatty ... liver of pregnancy
Vibrio Vulnificus skin infection Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. Vibrio vulnificus part of
vulnificus part of normal ... w/ black spots fatal ... sepsis: chronic liver ... Early abx are critical ... dermatology #legs #clinical
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