11 results
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic Liver ... months without treatment ... disease, liver ... support, or liver ... Failure Infections Alcohol-Associated
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Common Scenarios • Alcoholic ... Hepatitis • Hepatorenal ... Portosystemic Shunt • Liver ... #diagnosis #treatment ... #management
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
Non-Malignant • Fatty Liver ... Cholangitis • Abscess ... Inflammatory • Alcoholic ... Induced Hepatitis ... Primary Biliary Cirrhosis
Chronic Hepatitis B - Diagnosis and Management Algorithm

• Who to treat: Essentially treat the pts with
viremia or have cirrhosis ... HAV immunity; Liver ... elastographv, liver ... Tx goal: Reduce liver ... • Liver is the
Alcoholic Hepatitis - Management Algorithm
1. Severity assessed not only by MDF (>32) but also by MELD
Alcoholic Hepatitis ... - Management Algorithm ... can be bridge to Liver ... #Hepatitis #Management ... #Algorithm #treatment
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
Hepatitis B - Treatment ... infection with severe liver ... mg/dL) or acute liver ... failure #HepatitisB ... #Indications #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
the setting of liver ... • Underlying liver ... with or without cirrhosis ... hypertension • Liver ... #treatment #hepatology
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
Diagnosis and Management ... • Caused by liver ... Prevalence: At cirrhosis ... Constipation, Alcohol ... Classification #Diagnosis #Management
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
decrease in HIV-1 RNA level ... osteomyelitis, cutaneous abscesses ... ocular lesions: keratitis ... progression of cirrhosis ... Differential #Diagnosis #Management
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
vasculitis: 10%-16% Liver ... • Autoimmune hepatitis ... primary biliary cirrhosis ... Adenocarcinoma Treatment ... Rheumatology #Diagnosis #Management