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management differential hepatology causes criticalcare hepatopulmonary infectiousdiseases nephrology oncology rheumatology table abdominal abscess aecopd albumin apml cancer cardiology chronic cirrhosis
Diagnosis of ascites according to the serum ascites albumin gradient (SAAG) SAAG ≥ 1.1: - Ascitic protein
Diagnosis of ascites ... , Massive liver ... , IVC obstruction ... albumin #gradient #hepatology ... #algorithm
Causes of Ascites - Differential Diagnosis Algorithm Portal Hypertension - Prehepatic: • Portal vein thrombosis • Splenic
- Differential Diagnosis ... Algorithm Portal ... disease • Acute liver ... #Differential #Diagnosis ... #Algorithm #Hepatology
Portal Hypertension - Differential Diagnosis Portal Pressure = the pressure difference between the pressure in the portal
- Differential Diagnosis ... portal vein and IVC ... of portal HTN: ascites ... portal HTN: • Ascites ... #causes #hepatology
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
Differentiation Syndrome ... Triggers: ATRA treatment ... - pulmonary opacities ... • Steroids: IV ... #management #hematology
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm DILI suspicion Features toxic aetiology: Skin involvement, Kidney injury,
DILI) - Stepwise Diagnosis ... Algorithm DILI ... non-essential drug/HDS treatments ... disorder (e.g. ascites ... #Algorithm #hepatology
Leukostasis vs Tumor Lysis Syndrome Leukostasis: • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
, dyspnea, +/- CXR ... - 80% have fever ... organ damage • Treatment ... #TLS #diagnosis ... #management #hematology
Algorithm for Management of Acute Exacerbation of COPD (AECOPD) Obtain workup for alternate diagnoses and relevant comorbidities:
Algorithm for Management ... CBC, vitamin D level ... ventilated • CXR ... #Exacerbation #treatment ... #pulmonary
Hepatorenal Syndrome Diagnosis • ↑ in serum Cr of ≥ 0.3mg/dL above baseline
Hepatorenal Syndrome ... Diagnosis • ↑ ... in serum Cr of ... gradual • Severe liver ... Moderate to severe ascites
Causes of Fatigue - Differential Diagnosis Algorithm Endocrine • Hypo/Hyperthyroidism • Diabetes • Pituitary Insufficiency • Adrenal
Algorithm Endocrine ... Renal Failure • Liver ... Neoplastic / Hematologic ... Chronic Obstructive Pulmonary ... Chronic Fatigue Syndrome
Shock - Differential Diagnosis Framework - MAP <65. SBP <90, drop in SBP > 40 -
- Differential Diagnosis ... Insufficiency, Liver ... • Obstructive: Pulmonary ... Abdominal compartment syndrome ... #criticalcare #algorithm
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