22 results
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
- Differential Diagnosis ... Congestive heart failure ... Fulminant Hepatic Failure ... , Pancreatic, Biliary ... #hepatology
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG)
SAAG ≥ 1.1:
 - Ascitic protein
Diagnosis of ascites ... 2.5 g/dL: Heart failure ... syndrome SAAG < 1.1: Biliary ... albumin #gradient #hepatology ... #differential #diagnosis
Common Etiologies of Cirrhosis

Inflammation

 - Hepatitis B (15 percent)

 - Hepatitis C (47 percent)

 - Schistosomiasis
congenital - Primary biliary ... Congestive heart failure ... 14 percent) #Diagnosis ... #Differential #Hepatology
Primary Biliary Cirrhosis (PBC) - Summary

PBC Epidemiology:
 • Female:Male 9:1
 • Common European descent
 • Age:
Primary Biliary ... Cirrhosis/Liver failure ... No extrahepatic biliary ... Differential Diagnosis ... #workup #hepatology
Hepatomegaly - Differential Diagnosis Algorithm
Malignant
 • Primary Carcinoma
 • Metastases
 • Lymphoma
 • Leukemia
 • Polycythemia
- Differential Diagnosis ... • Right Heart Failure ... Cholangitis • Primary Biliary ... #Differential #Diagnosis ... Algorithm #Causes #Hepatology
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
- Differential Diagnosis ... • Acute liver failure ... • Primary biliary ... #Differential #Diagnosis ... #Algorithm #Hepatology
Pancytopenia - Workup and Differential Diagnosis Algorithm
Consumption Disorders
 1. Autoimmune Mediated Pancytopenia
 2. Splenic Sequestration
Peripheral Destruction
Pancytopenia - Workup ... and Differential Diagnosis ... Congenital bone marrow failure ... #Pancytopenia #Workup ... #Algorithm #Hematology
Ascites - Diagnostic Approach and Differential Diagnosis
The most common causes: cirrhosis, malignancy and heart failure. Approx
Ascites - Diagnostic ... and Differential Diagnosis ... concentration (bowel or biliary ... Jcortesizaguirr #Ascites #workup ... #hepatology
Pancytopenia - Workup and Differential Diagnosis Algorithm
Consumption Disorders
 1. Autoimmune Mediated Pancytopenia
 2. Splenic Sequestration
Peripheral Destruction
Pancytopenia - Workup ... and Differential Diagnosis ... Congenital bone marrow failure ... #Pancytopenia #Workup ... #Algorithm #Hematology
IgG4-Related Disease
Clinical history:  Man, 60 years, multiorgan involvement, unique or multiple inflammatory pseudotumor
4 phenotypes:
 •
Pancreato-hépato-biliary ... neck, pancreas, biliary ... PET-CT Imaging (→ Diagnostic ... management #phenotypes #workup ... #treatment #rheumatology