14 results
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... for admission (if ... disease work up ... - Prior liver biopsy ... of hypotension, shock
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Diagnosis Framework ... Insufficiency, Liver ... Decompensated CHF ... #criticalcare # ... algorithm #treatment #management
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
- Differential Diagnosis ... syndrome, Congestion/CHF ... Hepatic artery: Shock ... VZV • Trauma: Shock ... #differential #diagnosis
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
- Triglyceride level ... - Liver function ... as for septic shock ... Pancreatitis #Checklist #Diagnosis ... #Management #CriticalCare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Troponin, Lactate, Liver ... and/or digoxin level ... #Checklist #CHF ... #HeartFailure #Cardiology
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Peritonitis (SBP) - Diagnosis ... Presentation in septic shock ... be considered if ... dysfunction or liver ... #Management #hepatology
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
- Differential Diagnosis ... Cardiogenic & Septic Shock ... Beta-Agonists, ↑ work ... Clearance: Systemic liver ... #criticalcare #
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
failure, esp in work-up ... /management of shock ... bedside echo is never ... Pearls #Checklist #diagnosis ... #workup #criticalcare
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
dysfunction (16%) • Shock ... DIC • Severe Liver ... #Coagulation #diagnosis ... causes #treatment #management ... #hematology
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 ... hormones that work ... #diagnosis #differential ... #algorithm #management