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

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... syndrome, Congestion/CHF ... Hepatic artery: Shock ... VZV • Trauma: Shock ... diagnosis #algorithm #hepatology
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
ultrasound - Calcium level ... - Triglyceride level ... - Liver function ... as for septic shock ... #CriticalCare
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... Troponin, Lactate, Liver ... and/or digoxin level ... #Checklist #CHF ... HeartFailure #Cardiology #Management
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
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
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
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Cardiogenic & Septic Shock ... Beta-Agonists, ↑ work ... Clearance: Systemic liver ... - Infections (ie ... Differential #Diagnosis #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 ... history Initial Work-up ... bedside echo is never ... #criticalcare