13 results
VIBES Mnemonic - Cirrhosis Management Checklist

V - Volume (Ascites, HRS)
	- Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal
(Variceal) - ... esophageal gastric varices ... -> variceal ligation ... varices): Non-selective ... #Diagnosis #Hepatology
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... #Esophageal #Variceal ... #Bleeding #Diagnosis ... #endoscopy #varices
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Procedures - Diagnostic ... Polypectomy - Variceal ... #Risks #Gastroenterology ... #Management #Guidelines
Endoscopy - Management of Bleeding Esophageal Varices 
What to Band?
 - Always find the varix that
Varices What ... that specific variceal ... - Varices in ... #Esophageal #Varices ... #variceal #Tips
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Consult GI ± EGD ... Ulcer Disease • Variceal ... Bleeding • Mallory ... #Differential #Diagnosis ... gastrointestinal #gastroenterology
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver ... • Esophageal Varices ... Complications #diagnosis ... #management #summary ... #hepatology
Transhepatic Intrajugular Portosystemic Shunt (TIPS) 
Indications:
 • Ascites / Hepatic Hydrothorax
 • Variceal Bleeding
Cardiopulmonary, Renal, and
Hydrothorax • Variceal ... Bleeding Cardiopulmonary ... Portosystemic #Shunt #Hepatology ... #Gastroenterology ... #Management
Preventing Decompensation in Cirrhosis 

cACLD, CSPH, and the Rule of Five
Prevention of Decompensation
Nonselective Beta Blockers (NSBB)
Preventing
Preventing recurrent variceal ... Preventing recurrent bleeding ... Prevention #treatment #management ... #hepatology #gastroenterology
Stoma Indications, Output and Complications

Stoma Types:
 • End ileostomy
 • Loop ileostomy
 • End colostomy
 •
ileostomy • End ... Infection • Bleeding ... infections • Stoma varices ... Complications #diagnosis ... #gastroenterology
Procedure Risks and Platelet Targets for Transfusion
LOW RISK - Transfuse ≥ 20,000/uL
 • Paracentesis, EGD or
Paracentesis, EGD ... , Prophylactic variceal ... bleeding, Small ... Push enteroscopy, Diagnostic ... thresholds #targets #management