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Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic Liver ... months without treatment ... Hepatitis Procedures Management ... Cirrhosis #Hepatology #gastroenterology ... #management #diagnosis
Management of Benign Anorectal Disorders

Dyssnergic Defecation (DD)
Proctalgia Syndromes
Anal Fissures
Hemorrhoids
Fecal Incontinence

By Cynthia Tran, MD @EmoryGastroHep

#Anorectal #Disorders #Management
Management of Benign ... DD) Proctalgia Syndromes ... Anorectal #Disorders #Management ... #Benign #Gastroenterology ... #diagnosis #Treatment
Myelodysplastic Syndrome (MD) - Diagnosis and Management Summary
myelo (marrow) -dys- (abnormal) -plastic (shape) = funny-shaped cells
Myelodysplastic Syndrome ... marrow) -dys- (abnormal ... only curative treatment ... Myelodysplastic #Syndrome ... #Management #treatment
Lynch Syndrome:
 • "CRC + Endometrial/Ovarian + Stomach + Urinary → Lynch Syndrome"
 • Autosomal Dominant,
Lynch Syndrome: ... Urinary → Lynch Syndrome ... Microsatellite Instability (MSI ... #diagnosis #management ... #gastroenterology
Prevention and Treatment of Nutritional Complications after Bariatric Surgery
Types of Bariatric Surgery:
 • Adjustable Gastric Banding
Switch (BPD-DS) Management ... Surgery: • Dumping Syndrome ... Gallstones • Liver ... Bariatric #Surgery #Diagnosis ... #Deficiencies #Gastroenterology
Hypocalcemia - Diagnosis and Management
PTH Independent (↑ PTH)
 • LOW VIT D
    -
Hypocalcemia - Diagnosis ... and Management ... - Activation: Liver ... (phenytoin) • NORMAL ... - DiGeorge Syndrome
Irritable Bowel Syndrome (IBS) - Diagnosis and Management Summary
Diagnosis:
 • Use a positive diagnostic strategy with
Irritable Bowel Syndrome ... and Management ... Treatment: • Global ... #Diagnosis #Management ... #treatment
Management of Abdominal Distension and Bloating - Treatment Algorithm

Definitions
Pathophysiology
Organic/Pathologic Etiologies:
 • Small Intestinal Bowel Overgrowth (SIBO)
Management of Abdominal ... Irritable Bowel Syndrome ... Distension #Bloating #Management ... #Diagnosis #Algorithm ... #Treatment #gastroenterology
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
• Hepatorenal Syndrome ... Portosystemic Shunt • Liver ... inpatient #Cirrhosis #diagnosis ... #treatment #management
Hypernatremia Diagnosis and Workup

Step 1 . Repeat the sodium concentration.
Step 2.  Check plasma osmolality.
NORMAL PLASMA
Hypernatremia Diagnosis ... NORMAL PLASMA OSMOLALITY ... HYPERVOLEMIC • CHF • liver ... • nephrotic syndrome ... Workup #Algorithm #Nephrology