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Disorders of the Hepatic and Mesenteric Circulation

Platelets in Cirrhosis
Hypercoagulability in Cirrhosis
Bleeding in Cirrhosis
Portal Vein Thrombosis (PVT)
Mesenteric
Cirrhosis Portal Vein Thrombosis ... Vein Thrombosis ... Syndrome (BCS) ... Disorders #Hepatology #Gastroenterology ... #diagnosis #Management
Causes of SVC Syndrome - Differential Diagnosis Framework
 • Benign (15-40%): Thrombosis (aka catheter-associated), Goiter, Fibrosing
Causes of SVC Syndrome ... - Differential ... Diagnosis Framework ... Benign (15-40%): Thrombosis ... #Syndrome #Differential
Differential diagnosis of schistocytes / fragmentation hemolysis:
 • Thrombotic microangiopathies (TMA)
    - TTP
Differential diagnosis ... hemolysis: • Thrombotic ... hemolytic-uremic syndrome ... (ST-HUS) - ... - Drug-induced thrombotic
Differential Diagnosis - Noninfectious Causes of Fever

CRITICAL DIAGNOSES:
 - Acute myocardial infarction
 - Pulmonary embolism or
Differential Diagnosis ... Causes of Fever CRITICAL ... Neuroleptic malignant syndrome ... - Deep vein thrombosis ... Postmyocardiotomy syndrome
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... Abdominal compartment syndrome ... #Diagnosis #criticalcare ... #algorithm #treatment
Portal Hypertension Classification by site of vascular obstruction
1) Post-hepatic Post-sinusoidal: Budd-Chiari syndrome
2) Intrahepatic Post-sinusoidal: Veno-occlusive disease
3)
Post-sinusoidal: Budd-Chiari syndrome ... Pre-sinusoidal: Portal vein thrombosis ... Classification #gastroenterology ... #diagnosis #differential
Facial Swelling - Differential Diagnosis Framework for Facial Edema

Infectious:
	• Dental abscess
	• Ludwig's angina
	• Vincent's angina
	• Cellulitis
	•
Facial Swelling - Differential ... Diagnosis Framework ... Cavernous venous thrombosis ... Swelling #Edema #Differential ... #Diagnosis #PhysicalExam
Important Causes of Diplopia 
TIER 1-CRITICAL
Basilar artery thrombosis, Botulism, Basilar meningitis, Aneurysmn
TIER 2-EMERGENT:
Vertebral dissection, Myasthenia gravis,
Diplopia TIER 1-CRITICAL ... Basilar artery thrombosis ... , Orbital apex syndrome ... mass #Diplopia #differential ... #diagnosis #ophthalmology
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Plts ↓50% (nadir
Thrombocytopenia (HIT) - Diagnosis ... 5-10d, venous (DVT ... : • Clinical Suspicion ... non-heparin A/C if clinical ... #Management #Treatment
Prevention and Treatment of Nutritional Complications after Bariatric Surgery
Types of Bariatric Surgery:
 • Adjustable Gastric Banding
Prevention and Treatment ... Surgery: • Dumping Syndrome ... Bariatric #Surgery #Diagnosis ... #Differential # ... #Deficiencies #Gastroenterology