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Clinical Case Conference: Liver Disease and an Oral Lesion
Slide 1.
SFGH/UCSF HIV Grand Rounds Presention
Slide 1.
CC: Progressive Weakness and Abdominal Pain
Slide 2.
HPI (continued)
Slide 3.
HPI (continued)
Slide 4.
PMH
Slide 5.
Slide 6
Slide 6.
Additional labs from 2012 work-up in India
Slide 7.
SFGH Admission Labs
Slide 8.
Abdominal Imaging
Slide 9.
Slide 10
Slide 10.
Hospital Course
Slide 11.
Hospital Course
Slide 12.
Liver Biopsy
Slide 13.
Liver Biopsy - Reticulin Stain
Slide 14.
What is the most likely etiology of this patient's portal hypertension?
Slide 15.
Diagnostic Approach
Slide 16.
Noncirrhotic Portal Hypertension
Slide 17.
DDx of NCPH
Slide 18.
Schistosomiasis & HIV
Slide 19.
Schistosomiasis & NCPH
Slide 20.
Idiopathic NCPH
Slide 21.
Proposed etiology of Idiopathic NCPH
Slide 22.
Association of Noncirrhotic Portal Hypertension in HIV-Infected Persons and Antiretroviral Therapy with Didanosine: A Nested Case-Control Study
Slide 	23.
Results
Slide 24.
Didanosine-related Liver Pathology
Slide 25.
What do you tell patients for a low-carb diet?
Slide 26.
Back to our case...
Slide 27.
What is the most likely etiology of this patient's loculated ascites/peritonitis?
Slide 28.
Our Patient
Slide 29.
TB Peritonitis
Slide 30.
TB Peritonitis
Slide 31.
Table 1. Comparison of patients who survived and patients who died of tuberculous peritonitis
Slide 32.
Substituting Moxifloxacin for INH during intense phase of TB Rx
Slide 33.
MDR TB & East Africa
Slide 34.
Rifampin & Integrase Inhibitors
Slide 36.
Clinical follow-up
Slide 36.
Case 2
Slide 37.
Case 2
Slide 38.
What is your ddx for this oral lesion?
Slide 39.
Case 2
Slide 40.
Thank you!
Slide 41.