11 results
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
Nutrition in Cirrhosis ... ) • Advanced liver ... treat hepatic encephalopathy ... cirrhosis. ... #Nutrition #Cirrhosis
Wernicke Encephalopathy - Acute B1 (Thiamine) Deficiency - Diagnosis and Management
Diagnosis - Caine Criteria (2 of
Wernicke Encephalopathy ... nystagmus) • Cerebellar ... upper limb) • Nutritional ... risk factor for nutritional ... worsen Wernicke Encephalopathy
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver ... Disease (Cirrhosis ... Varices • Hepatic Encephalopathy ... SBP) #ESLD #Liver ... #Cirrhosis #Complications
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... Bleeding • Hepatic Encephalopathy ... Portosystemic Shunt • Liver ... DeanEhrlich_MD #inpatient #Cirrhosis
Spur-Cell Anemia- A 31-year-old man with a history of cirrhosis, recurrent hepatic encephalopathy, and anemia presented
with a history of cirrhosis ... recurrent hepatic encephalopathy ... definitively treated by liver ... candidate for liver ... He remained encephalopathic
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
thrombocytopenia, hepatic encephalopathy ... Clues to non-cirrhotic ... sarcoidosis) • Liver ... metastasis • Fatty liver ... Primary biliary cirrhosis
Asterixis on Physical Exam

Asterixis, aka liver flap, indicates at least Grade 2 hepatic encephalopathy in a
Asterixis, aka liver ... Grade 2 hepatic encephalopathy ... a patient with cirrhosis ... clinical #video #cirrhosis
Clinical Examination for Liver and Biliary Diseases
1) Hands: Clubbing, Dupuytren's contracture, Leuconychia, Bruising, Flapping tremor (hepatic
Examination for Liver ... tremor (hepatic encephalopathy ... #physicalexam #cirrhosis ... #liver #disease
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Chemistries ... Identify Acute Liver ... INR > 1.5 • Encephalopathy ... - Specific to liver ... hepatitis: < 1 • Cirrhosis
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
Hepatic Encephalopathy ... • Caused by liver ... Prevalence: At cirrhosis ... LizzieAbyMD #Hepatic #Encephalopathy