Causes of Acute Liver Injury - Differential Diagnosis
Hepatocellular - Liver Parenchyma
• Infectious: Hepatitis C, A, E, B, D, EBV, CMV, HSV
• Toxic: Alcohol, Medication, Recreational Drugs, Mushrooms
• Hereditary: Hemochromatosis, Wilson's Disease, Alpha-1 Antitrypsin
• Other: NAFLD, Autoimmune hepatitis, Acute biliary obstruction, HELLP Syndrome, Celiac Disease
Hepatocellular - Vasculature
• Hepatic Vein: Budd-Chiari, Congestion/CHF
• Hepatic Artery: Shock Liver, Thrombus, Vasospasm
Cholestatic - Intrahepatic
• Obstructive: Malignancy, 1° PBC, 1° PSC, Cystic Fibrosis, Infiltrative Disease, Sickle Cell, VOD, GVHD
• Toxic: Medication, Pregnancy, Alcoholic Hepatitis, TPN
• Infectious: Sepsis, Viral Hepatitis, TB
Cholestatic - Extrahepatic
• Biliary: Choledocholithiasis, Stricture, Malignancy, Liver Fluke, Ascariasis, Choledochal Cyst
• Pancreatic: Pancreatitis, Pancreatic Pseudocyst, Cancer
- Sophia Hayes MD @Sophia_Hayes_MD
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