32 results
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... for admission (if ... of hypotension, shock ... , sepsis, GIB etc ... Calling #Referral #Hepatology
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
Sepsis - Diagnosis ... SHOCK is a subset ... Clinical construct ... #SIRS #criticalcare ... #icu
American College of Critical Care Medicine algorithm for time-sensitive, goal-directed stepwise management of hemodynamic support in
American College of Critical ... 2) Subsequent ICU ... goals—if shock ... #CriticalCare # ... Peds #Pediatrics #Sepsis
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Distributive: Sepsis ... Insufficiency, Liver ... #criticalcare # ... algorithm #treatment #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Liver function ... strategy as for septic ... shock (e.g. moderate ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Liver Disease in Pregnancy
Intrahepatic Cholestasis of Pregnancy (ICP)
 • Onset/Trimester: 25-32 weeks
 • Typical clinical features:
Liver Disease in ... Hemolysis, Elevated Liver ... features: Liver ... BrighamChiefs #Liver ... #differential #diagnosis
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Presentation in septic ... shock yes ... be considered if ... dysfunction or liver ... #Management #hepatology
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic ... Shock, Severe Anemia ... Clearance: Systemic liver ... Malaria, Late Sepsis ... #criticalcare #
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
wall disruption (i.e ... intra-abdominal sepsis ... venousgas #ultrasound #hepatology ... #liver #pocus # ... clinical #air
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
death Common Clinical ... AI, thyroid dz liver ... Classification #diagnosis ... #management #Overview ... #criticalcare #