11 results
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... - Reason for admission ... on prior Liver/Gl ... of hypotension, shock ... Calling #Referral #Hepatology
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- RUQ ultrasound ... - Calcium level ... - Liver function ... as for septic shock ... #CriticalCare
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Diagnosis and Management ... Presentation in septic shock ... be considered if ... dysfunction or liver ... #hepatology
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
gas on hepatic ultrasound ... wall disruption (i.e ... portal #venousgas #ultrasound ... #hepatology #liver ... #pocus #clinical
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Troponin, Lactate, Liver ... and/or digoxin level ... (no B-lines on ultrasound ... HeartFailure #Cardiology #Management
Myasthenic Crisis Checklist - Myasthenia Gravis

Evaluation 
 - Chest X-ray and lung ultrasound (exclude other lung
X-ray and lung ultrasound ... disease) - Forced ... workup or TSH level ... MyastheniaGravis #Checklist #Management ... #CriticalCare
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
esp in work-up/management ... of shock MICRO ... bedside echo is never ... #Admitting #Admissions ... diagnosis #workup #criticalcare
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
stores in the liver ... beta-oxidation in the liver ... elevates the stress level ... #treatment #criticalcare ... #foamed
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
dysfunction (16%) • Shock ... DIC • Severe Liver ... dL) - Heparin if ... causes #treatment #management ... #hematology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... essentially Cardiogenic Shock ... differential #algorithm #management ... treatment #table #foamed ... heartfailure #chf #criticalcare