Liver failure
by chromosome life
1. SSAG
1.1. <1.1
1.1.1. NEPHROTIC
1.1.2. Cancer
1.1.3. Infection
1.2. >1.1
1.2.1. cardiac
1.2.2. liver
2. chronic
2.1. portal hypertension
2.1.1. porto-systemic shunt
2.1.2. varices
2.1.2.1. Rx: BB+ Banding
2.1.3. ascites
2.1.3.1. SSAG >1.1
2.1.3.2. Rx:
2.1.3.2.1. Na+/water restriction
2.1.3.2.2. Spironolactone
2.1.3.2.3. Loop diuretics
2.1.3.2.4. Paracentesis (2-4 L/day) if
2.1.4. splenomegaly
2.1.5. SBP
2.1.5.1. ecoli - pneumococcus
2.1.5.2. >250 neutrophils
2.1.5.3. Rx: Ceftriaxone
2.2. impaired function
2.2.1. Low albumin
2.2.2. High oestrogen
2.2.3. cougelopathy
2.2.4. Encephalopathy
2.2.5. Hepatopulmonary
2.2.6. Hepatorenal
2.3. Hpatocellular carcinoma
3. Acute
3.1. cougelopathy
3.2. AST, ALT 1000's
3.2.1. jaundice
3.3. Encephalopathy
3.4. Causes ?
3.4.1. Acetamiophen
3.4.2. Hep A,B
3.4.3. ISCHEMIC
3.4.4. Malignancy
3.4.5. Autoimmune- Wilson- Budd Chiari
3.4.6. Alcoholic (AST:ALT is >2:1) 500's