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Chronic liver disease - Coggle Diagram
Chronic liver disease
Definition
HYperacute <7days
ACute 7-28 days
Paracetamol
Drug induced
Viral
Ischaemic
Sub- acute 5-12 weeks
Chronic
Alcohol
NASH
Haemachromatosis
Autoimmune
Management
Portal HTN
Major haemorrhage
Terlipressin
Variceal band ligation
Antibiotics
Sengstanken-BLakmore
Transjugular intrahepatic portosystemic stent shunt
endovascular
Inflow portal vein and connects outflow heptic vein
Hepatorenal syndrome
Diagnostic criteria
Cirrhosis with ascites
creatinine >133
No improvement after diuretic withdrawel and giving albumin
Absence of shock
Absence of nephrtoxin
Absence of renal disease
Features
Pre-renal
abnormal autoregulation
Low fractional excretion of sodium
Types
Type 1 - rapidly progressive
Type 2 diuretic resistant ascites
Spontaneous bacterial peritonitis
Neutrophil count >250
Terlipressin carries mortaility benefit
Scoring systems
Child-Pugh
Encephalpathy
Ascites
Bilirubin
albumin
INR
MELD score
INR
bilirubin
Cretinine
Causes
SAAG > 11
Cirrhosis
Alcohol
Cardiac
Secondary metastasis
SAAG < 11
Peritoneal metastasis
TB
Pancreatic
Nephrotic