12 results
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver ... Esophageal Varices • Hepatic ... Encephalopathy ... • Spontaneous Bacterial ... Complications #diagnosis #management
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Variceal Bleeding • Hepatic ... Encephalopathy ... Portosystemic Shunt • Liver ... diagnosis #treatment #management
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Liver Chemistries ... Interpretation of LFTs ... INR > 1.5 • Encephalopathy ... replaced by non-hepatic ... transaminitis #LFTs
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 ... #Encephalopathy
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
Nutrition in Cirrhosis: Dos and Don’ts
Screening:
 • Patients at risk for RFH-Nutritional Prioritizing Tool
 • Low
) • Advanced liver ... prevent or treat hepatic ... encephalopathy ... patients with liver ... Cirrhosis #diet #management
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
Hepatic Hydrothorax
 • Presents as right sided in 85% of cases
 • Fluid studies:
Hepatic Hydrothorax ... • Spontaneous bacterial ... may develop • Management ... TIPS, Liver transplant ... BrighamChiefs #Hepatic
Artificial Liver Support Systems
Bridge between transplantation to allow a patient's liver to recover
When used: Acute liver
Artificial Liver ... allow a patient's liver ... substances causing hepatic ... encephalopathy ... Systems #hepatology #management
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
RR of bacterial ... increased risk of hepatic ... encephalopathy ... Bleeding #varices #management