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diagnosis differential management algorithm blood hyperbilirubinemia liver product reactions anemia aplastic bariatric bypass chemistry complications congenital conjugated direct gastric hepatitis
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm 1. Definition: T.bili elevation + >20% conjugated 2. Obtain RUQ
non-ICU vs ICU causes ... Hyperbilirubinemia #direct #bilirubin ... Diagnosis #Algorithm #gastroenterology ... #hepatology
Inherited Non-hemolytic Disorders of Hyperbilirubinemia == Disorders of Conjugation == Gilbert Syndrome: • 5-10% of the population
hemolysis or liver injury ... associated with bilirubin ... and stress may cause ... #hepatology #diagnosis ... #gastroenterology
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Algorithm Vascular Causes ... • Bilirubin - ... week • Direct bilirubin ... RBC (hemolysis, bleeding ... diagnosis #algorithm #hepatology
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
• Bilirubin - ... week • Direct bilirubin ... Elevation: • Bilirubin ... RBC (hemolysis, bleeding ... #differential #Hepatology
Blood Transfusion Reactions Immune Mediated: • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Causes purpura & ... Related Acute Lung Injury ... cause of transfusion ... TRALI resembles ARDS ... diagnosis #management #hematology
Blood Product Transfusions One Pager Summary Type and screen - determines blood type and detects in recipient
Causes purpura & ... Related Acute Lung Injury ... cause of transfusion ... TRALI resembles ARDS ... diagnosis #management #hematology
Aplastic Anemia - Overview Who? • M = F • 3 peaks: 1) Childhood 2) 15-25 years 3) >60 years What? • Aplastic anemia
Marrow (Toxic injury ... ecchymoses, mucosal bleeding ... and petechiae Causes ... Anemia #oncology #hematology
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
inuslin release leading ... Gastric bypass causes ... TypicallySilent via Emory Gastroenterology ... and Hepatology ... gastric #bypass #gastroenterology
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