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 ... Presentation in septic ... prophylaxis - Best evidence ... dysfunction or liver ... #Spontaneous #Bacterial
The 6 C’s of Primary Sclerosing Cholangitis (PSC)
PSC is a chronic, cholestatic, immune-mediated disease characterized by
intra- and extra-hepatic ... colorectal and hepato-biliary ... disease management ... remains common but evidence ... Cholangitis #diagnosis #management
Pancreatitis management checklist 
Evaluation to guide etiology & management 
 - RUQ ultrasound 
 - Calcium
Pancreatitis management ... guide etiology & management ... Triglyceride level - Liver ... strategy as for septic ... considered if evidence
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
and biological evidences ... +++ (Plt, Hb), Hepatic ... CMV, HHV8,...), Bacteria ... 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
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... RR of bacterial ... increased risk of hepatic ... Bleeding #varices #management ... #ebm #evidence
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 ... Improve #Outcomes #Evidence