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hepatology management differential liver transaminitis comparison rheumatology aclf acute algorithm chemistry classification dermatology diuresis diuretics druginduced encephalopathy excretion failure function
Elevated Liver Function Tests (LFTs) - Differential Diagnosis Framework Mild (<100-500): • NAFLD • Cirrhosis •
Function Tests (LFTs ... - Differential Diagnosis ... • NAFLD • Cirrhosis ... • Chronic Viral ... #hepatology #transaminitis
Patterns of Liver Injury Transaminase Levels: > 50x normal - Ischemic Hepatitis > 20x normal
CMV), Alcoholic cirrhosis ... 5-10x normal - Chronic ... Liver #Injury #hepatology ... #LFTs #transaminitis ... #differential #diagnosis
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 ... #Hepatology #gastroenterology ... #management #diagnosis
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... , chronic kidney ... , chronic kidney ... Tolvaptan) • Treatment ... #Medications #Table
Chronic Hepatitis B - Diagnosis and Management Algorithm • Who to treat: Essentially treat the pts with
B - Diagnosis and ... viremia or have cirrhosis ... HBV #Algorithm #Diagnosis ... #Management #Treatment ... #Hepatology
Liver Chemistries - Interpretation of LFTs R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP) • R >
Interpretation of LFTs ... > 2 • NASH, Chronic ... hepatitis: < 1 • Cirrhosis ... liver #chemistry #diagnosis ... transaminitis #LFTs
Hepatic Encephalopathy - Diagnosis and Management Summary Definition: • Alteration in brain function manifested by neuropsychiatric symptoms
Prevalence: At cirrhosis ... noxious stimuli) TREATMENT ... Initiate empiric treatment ... #Management #treatment ... #hepatology
Mycoses HISTOPLASMOSIS • Inhalation of conidia → Yeast → travel to lymph nodes → spread in body • Bird
conidia → Yeast → travel ... Immunosuppressed host): • Chronic ... 85% • < 50% in chronic ... infection) • Chronic ... , neutropenia, cirrhosis
Drug Induced Lupus vs SLE Drug Induced Lupus (DIL): • Epidemiology: -10% of all lupus cases, drug-dependent,
life-threatening • Treatment ... • Evolution: Chronic ... sle #comparison #table ... #rheumatology # ... diagnosis #management
Scleroderma Like Conditions - Differential Diagnosis Eosinophilic Fasciitis: - Orange peel induration (peau d'orange) of proximal extremities
- Differential Diagnosis ... the mainstay of treatment ... frequent in men Chronic ... #comparison #table ... #dermatology
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