11 results
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver ... Esophageal Varices • Hepatic ... • Spontaneous Bacterial ... SBP) #ESLD #Liver ... Complications #diagnosis #management
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial ... Diagnosis and Management ... Presentation in septic ... dysfunction or liver ... #Spontaneous #Bacterial
Septic Arthritis - Diagnosis and Management Summary
Clinical Exam: hot, swollen, pain with passive AND active ROM
Septic Arthritis ... Diagnosis and Management ... swollen, painful = bacterial ... MH/CCF/CWRU EM ... Arthritis #Diagnosis #Management
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
Hepatic Encephalopathy ... Diagnosis and Management ... • Caused by liver ... acid by colonic bacteria ... LizzieAbyMD #Hepatic
For my UME micro course, I made a figure that captures this terminology and lets learners
terminology and lets ... clinically important bacteria ... antibiotics cover only a sliver ... antibiotics #coverage #antibiogram ... #pharmacology #management
Hemophagocytic Lymphohistiocytosis (HLH)
Pathophysiology: Triggering factor (infection,...)→Activation of CD8 T cells (IFN-y) → Excessive activation of macrophages
+++ (Plt, Hb), Hepatic ... Infections+++: Virus (EBV ... CMV, HHV8,...), Bacteria ... biologics (CMV +++, EBV ... Lymphohistiocytosis #diagnosis #management
Hepatic Hydrothorax
 • Presents as right sided in 85% of cases
 • Fluid studies:
Hepatic Hydrothorax ... • Spontaneous bacterial ... may develop • Management ... TIPS, Liver transplant ... BrighamChiefs #Hepatic
Sepsis - Interventions that do / do not improve outcomes
Do:
- Have high index of suspicion and
think patient has bacterial ... for persistent septic ... noradrenaline - Lots ... Interventions #Management ... Factors #Matter #EBM
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
RR of bacterial ... increased risk of hepatic ... Bleeding #varices #management ... #ebm #evidence
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
Diagnosis and Management ... asymptomatic to septic ... - Vascular (septic ... Cx w/ typical bacteria ... - MH/CCF/CWRU EM