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diagnosis differential hepatology causes ascites albumin algorithm arthritis calling chemistry consultation disorders gap gastroenterology giconsult globulin gradient hepatorenal hrs interpretation
Causes of Ascites Normal Peritoneum Portal hypertension (SAAG > 1.1 g/dL) 1. Hepatic congestionl
Peritoneum Portal hypertension ... Liver disease ... - Cirrhosis ... fibrosis - Acute ... fatty liver of
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... HTN: ascites (SAAG ... /acute hepatitis ... sarcoidosis) • Liver ... Veno-occlusive disease
The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult
Gl History - Cirrhosis ... - Vitals - LFTs ... disease work up ... - Episodes of hypotension ... Calling #Referral #Hepatology
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
Algorithm Portal Hypertension ... - Hepatic: • Cirrhosis ... • Infiltrative disease ... • Acute liver ... Diagnosis #Algorithm #Hepatology
Causes of Thrombocytopenia and Platelet Disorders - Differential Diagnosis and Workup History: - Prior platelet count, family
Diagnosis and Workup ... gastric bypass), LFT ... (liver disease) ... - Bone marrow evaluation ... #hematology
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
Albumin Gradient (SAAG ... >1.1 g/dl): - Cirrhosis ... ascites - Massive liver ... - Acute fatty ... liver of pregnancy
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Interpretation of LFTs ... of cholestatic disease ... disease: > 2 ... hepatitis: < 1 • Cirrhosis ... transaminitis #LFTs
Rheumatology Workup - Laboratories Studies in Rheumatic Diseases • Septic arthritis - Gram stain and culture of
Rheumatology Workup ... Screening Tests for Acute ... profile, including liver ... function tests (LFTs ... Arthritis #laboratory #workup
Hepatorenal Syndrome (HRS) Definition: • Functional, potentially reversible kidney impairment. • Occurs in advanced liver disease: cirrhosis, severe alcoholic
disease: cirrhosis ... hepatitis, or acute ... Pathophysiology: • Portal hypertension ... transplant evaluation ... Hepatorenal #Syndrome #Hepatology
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4) Work-up of an Elevated Globulin Gap: •
Albumin > 4) Work-up ... first step in evaluation ... Sarcoidosis) • Liver ... disease: Cirrhosis ... inflammation (acute
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