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management diagnosis hematology algorithm differential liver hepatic indications 1 aclf albumin anemia aplastic bariatric bypass cancer causes cdi cdiff chemistry
Disorders of the Hepatic and Mesenteric Circulation Platelets in Cirrhosis Hypercoagulability in Cirrhosis Bleeding in Cirrhosis Portal Vein Thrombosis (PVT) Mesenteric
Platelets in Cirrhosis ... Hypercoagulability in Cirrhosis ... Bleeding in Cirrhosis ... Circulation #Disorders #Hepatology ... #Gastroenterology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... those with CLD (± cirrhosis ... months without treatment ... Liver #Failure #Cirrhosis ... #Hepatology #gastroenterology
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Management of Cirrhosis ... ascites removed • Acute ... Indications #Management #Cirrhosis ... #treatment #hepatology
Preventing Decompensation in Cirrhosis cACLD, CSPH, and the Rule of Five Prevention of Decompensation Nonselective Beta Blockers (NSBB) Preventing
Decompensation in Cirrhosis ... Preventing recurrent bleeding ... #Prevention #treatment ... #management #hepatology ... #gastroenterology
Aplastic Anemia - Illness Script Signs and symptoms: • Recurrent infections from neutropenia • Mucosal bleeding from
neutropenia • Mucosal bleeding ... megaloblastic anemia Treatment ... progress to MDS or acute ... diagnosis #management #treatment ... #hematology
Hemophilia - Diagnosis and Management Diagnosis: • Consistent bleeding history (unless screening for disease in family members
Classify severity Treatment ... - Acute Bleeding ... by a hemophilia treatment ... Diagnosis #Management #treatment ... #hematology
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
Family history of cirrhosis ... or fibrosis • Cirrhosis ... immunosuppression • Acute ... > 3 mg/dL) or acute ... Indications #management #hepatology
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
Findings: • Bleeding ... malignancy (Especially acute ... Treatment: ... diagnosis #causes #treatment ... #management #hematology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Torsemide) • Acute ... hyperaldosteronism • Acute ... roentgenography • Bleeding ... with specific bleeding ... Tolvaptan) • Treatment
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Mixed - Check Acute ... hepatitis: < 1 • Cirrhosis ... : > 1 • Acute ... RBC (hemolysis, bleeding ... #differential #Hepatology
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