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LIVER DISEASES Dr. AMMAR I. Abdul-Latif
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LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Mar 07, 2019

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Page 1: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

LIVER DISEASES

Dr. AMMAR I. Abdul-Latif

Page 2: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities
Page 3: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities
Page 4: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities
Page 5: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities
Page 6: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities
Page 7: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities
Page 8: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Causes of fulminant hepatitis

Page 9: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Pathogenesis of hepatic fibrosis

Page 10: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities
Page 11: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities
Page 12: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Approach to patient with cholestaticjaundice

Page 13: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities
Page 14: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities
Page 15: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities
Page 16: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Complications of cirrhosis

Page 17: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Ascites

Page 18: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Ascites –Causes(D.Dx)

Page 19: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Ascites-Dx

Imaging:Abd/Pelvic ulrasound&CT scanAscitic fluid analysisInvestigations for specific cause(cardiac &renalfunction assessment,T.B. work up,malignancywork up…etc.)

Page 20: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Ascites-Dx-Paracentesis

Page 21: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Ascites-Dx-Paracentesis

Page 22: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Ascitic fluid analysis interpretation

Page 23: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Ascites grading

Page 24: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Definitions of ascites in cirrhotics

Page 25: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Treatment of uncomplicated ascites

Page 26: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Treatment of refractory ascites

Page 27: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Treatment of ascites-Recomandations

Page 28: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Complications of ascites-SBP

Page 29: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Complications of ascites-SBP

Page 30: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Complications of ascites-SBP

Page 31: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Complications of ascites-SBP

Page 32: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Complications of ascites-HRS

Page 33: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Complications of ascites-HRS

Page 34: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Hepatic encephalopathy(HE)

Page 35: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

HE

Page 36: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

HE

Page 37: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

HE-Medical Tx

Page 38: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Cardio-pulmonary complications ofcirrhosis

Page 39: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities

Portal hypertension(P.H.T.)

Page 40: LIVER DISEASES - medicinebau.com · Fig. 22.6 Pathway ot blllrubln excretion. Acute liver injury Viral hepatitis Alcoholi Drugs Autoim ... rial peritonitis (SBP). Culture and sensitivities