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diagnosis hepatology treatment indications renal aclf aflp albumin causes chronic coagulation crisis dic diet differential disseminated diuresis diuretics excretion failure
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... those with CLD (± cirrhosis ... EmoryGastroHep #ACLF #Acute ... #Failure #Cirrhosis ... #Hepatology #gastroenterology
Indications for Albumin for Management of Cirrhosis • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... of Cirrhosis ... ascites removed • Acute ... #Cirrhosis #treatment ... #hepatology
Acute Fatty Liver of Pregnancy (AFLP) Pathophysiology: • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... Pregnancy (AFLP) Pathophysiology ... headache, malaise) → Acute ... #Pregnancy #hepatology ... #pathophysiology
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
irrigation • Management ... Torsemide) • Acute ... hyperaldosteronism • Acute ... patients with acutely ... Excretion #Diuresis #Nephrology
Hepatitis B - Treatment Indications Treatment not indicated: • Immune tolerant state - HBe-Ag detectable, high HBV
immunosuppression • Acute ... > 3 mg/dL) or acute ... liver failure ... #Indications #management ... #hepatology
Nutrition in Cirrhosis: Dos and Don’ts Screening: • Patients at risk for RFH-Nutritional Prioritizing Tool • Low
Nutrition in Cirrhosis ... Assessment: • Evaluation ... cirrhosis. ... #diet #management ... #hepatology #pathophysiology
Disseminated Intravascular Coagulation (DIC) Overview Increased Clotting and Consumption of Clotting Factors Findings: • Bleeding • Recent history
malignancy (Especially acute ... protein C and S Pathophysiology ... DIC • Severe Liver ... causes #treatment #management ... #hematology
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4) Work-up of an Elevated Globulin Gap: •
first step in evaluation ... Viral infections (acute ... Sarcoidosis) • Liver ... disease: Cirrhosis ... inflammation (acute
Scleroderma Renal Crisis (SRC) Clinical Presentation of Scleroderma Renal Crisis: 1) Acute kidney injury 2) Abrupt onset of hypertension 3)
Renal Crisis: 1) Acute ... anemia (MAHA) Pathophysiology ... of arteries Management ... #nephrology #diagnosis ... #management
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
presents with acute ... to 12 weeks for acute ... Chronic, subacute to acute ... , neutropenia, cirrhosis ... Coccidioidomycosis Symptoms: • Acute
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