12 results
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
for admission (if ... different) PMHx: - Focus ... disease work up ... of hypotension, shock ... Calling #Referral #Hepatology
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
syndrome, Congestion/CHF ... Hepatic artery: Shock ... VZV • Trauma: Shock ... later - Half-life ... diagnosis #algorithm #hepatology
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
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... for hemoglobin level ... If volume restoration ... #Shock #Management ... #CriticalCare
Noninvasive Positive Pressure Ventilation (NIPPV)

Expiratory & Inspiratory Positive Airway Pressure
Both increase intrathoracic pressure, which can decrease
In CHF, decreases ... mortality BPAP - Bi-Level ... status • Won't Work ... #indications #criticalcare ... #management
Admitting in the ICU - Checklist
VITALS: If bad, stop and go see the patient immediately; you
failure, esp in work-up ... /management of shock ... history Initial Work-up ... bedside echo is never ... #criticalcare
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
high risk if WBC ... Subacute-Acute: • Common: fever ... sepsis), PE, DAH, CHF ... APML #diagnosis #management ... #hematology #oncology
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
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
Diagnosis and Management ... • Caused by liver ... If decompensated ... Encephalopathy #Grading #Classification ... #treatment #hepatology
Hodgkin's Lymphoma Overview

Hodgkin's lymphoma (HL) is an uncommon hematological malignancy arising from mature B cells. It
• Dyspnea • Fever ... Hodgkin Lymphoma Workup ... marrow biopsy - if ... #hematology #oncology ... #management