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diagnosis hepatology management differential algorithm bariatric nephrology surgery 1 aclf albumin bypass cancer cdi cdiff chemistry chronic clostridioides clostridium deficiencies
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 ... #Failure #Cirrhosis ... #Hepatology #gastroenterology
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... Ascites • Variceal Bleeding ... • Hepatorenal Syndrome ... Portosystemic Shunt • Liver ... #diagnosis #treatment
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
Management of Cirrhosis ... ascites removed • Acute ... • Hepatorenal syndrome ... Indications #Management #Cirrhosis ... #treatment #hepatology
Prevention and Treatment of Nutritional Complications after Bariatric Surgery Types of Bariatric Surgery: • Adjustable Gastric Banding
Prevention and Treatment ... Surgery: • Dumping Syndrome ... Gallstones • Liver ... #Differential #Treatment ... #Deficiencies #Gastroenterology
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
Acute Liver Injury - Differential Diagnosis Algorithm Vascular Causes of Acute Liver Injury: • Hepatic vein:
Acute Liver Injury ... vein: Budd-chiari syndrome ... hepatitis: < 1 • Cirrhosis ... • Gilbert's syndrome ... RBC (hemolysis, bleeding
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 ... • Gilbert's syndrome
Complications after Bariatric Surgery Post Bariatric Intestinal Failure: • Severe protein malnutrition after bariatric surgery • More
Consider refeeding syndrome ... nutrients • TPN for treatment ... deficiencies) Dumping Syndrome ... inuslin release leading ... Liver Disease in
C.diff - Clostridioides Difficile Infection (CDI) - Diagnosis and Management - GrepMed Handbook Clinical Presentation + Progression:
on ABx) → Acute ... CT A/P: Assess complications ... KUB ↓↓Sens for complications ... mg PO qd - If needing ... infectiousdiseases #IDSA #gastroenterology
Acute Pancreatitis - Diagnosis and Management - GrepMed Handbook Presentation: • Epigastric abdominal pain (90%, characteristically
Acute Pancreatitis ... Autoimmune, PUD (posterior ... to assess for complications ... Diagnosis #Management #Treatment ... #Gastroenterology
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