9 results
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... Liver Failure ( ... months without treatment ... Lung Failure ... Injury (DILI)
Outpatient Hypertension Management Algorithm
Monotherapy: 
 • Thiazide/thiazide-like 
 • ACE-I (non-black patients), 
 • ARB
Algorithm Monotherapy ... ARB • CCB (long ... Left Ventricular Failure ... Kidney Injury ... Amy Chung, MD, MSc
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Acute Kidney Injury ... (AKI) - Management ... Treat underlying liver ... #Injury #treatment ... #management
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Troponin, Lactate, Liver ... 1 — Treat the lungs ... (no B-lines on ultrasound ... Revascularization, treatment
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Acute Hemolytic ... hypoTN, renal failure ... Lung Injury (TRALI ... eruptions, diarrhea, liver ... Transfusion #diagnosis #management
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
- Acute Hemolytic ... hypoTN, renal failure ... Lung Injury (TRALI ... eruptions, diarrhea, liver ... Transfusions #diagnosis #management
Gout - Diagnosis and Management Summary

3 Conditions for Gout to Manifest:
1. Hyperuricemia
2. Monosodium urate deposition in
Diagnosis and Management ... A reaction to phagocytosed ... not possible • Ultrasound ... Dual-energy CT → MSU ... • Oral drug failure
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which all carry treatment ... stores in the liver ... In both SK and AK ... #differential #algorithm ... #management #treatment
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
injury • Indirect ... hypersensitivity/immunologic reaction ... toxicity (e.g., acute ... : - Heart failure ... Pulmonary #diagnosis #management