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diagnosis differential hepatology causes ascites nephrology saag algorithm calling chemistry consultation diuresis diuretics excretion gap gastroenterology giconsult globulin gradient hepatorenal
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
Portal Hypertension ... INR, bilirubin, albumin ... /acute hepatitis ... sarcoidosis) • Liver ... Veno-occlusive disease
The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult
The Liver Consult ... Gl History - Cirrhosis ... 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
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
Torsemide) • Acute ... cirrhosis, and ... hyperaldosteronism • Acute ... patients with acutely ... #Medications #Table
Serum Ascites Albumin Gradient (SAAG) - Differential Diagnosis High albumin gradient (>1.1 g/dl): - Cirrhosis - Alcoholic
>1.1 g/dl): - Cirrhosis ... ascites - Massive liver ... Veno-occlusive disease ... - Acute fatty ... liver of pregnancy
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
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
of cholestatic disease ... Production: • Albumin ... disease: > 2 ... hepatitis: < 1 • Cirrhosis ... #differential #Hepatology
Causes of Secondary Hypertension - Workup and Differential Diagnosis Approach (when evaluation should be done): 1. Severe or
- Workup and Differential ... Approach (when evaluation ... with previously stable ... Renal parenchymal disease ... #Workup #causes
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 ... - IV albumin ... transplant evaluation
Elevated Globulin - Protein Gap (Total Protein - Albumin > 4) Work-up of an Elevated Globulin Gap: •
Total Protein - Albumin ... > 4) Work-up ... first step in evaluation ... Sarcoidosis) • Liver ... disease: Cirrhosis
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