12 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
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Presence of pulmonary arterial ... Effect: shown to improve ... 1 study showed improved ... hemodynamics Liver ... Hypertension #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
Streptocccus Pneumoniae
Microbiology: Gram Positive, Alpha-hemolytic, Catalase Negative
Epidemiology - 10% adult carriers:
 • Most common cause of:
cause of: CAP, Bacterial ... of sinusitis, septic ... associated with improved ... microbiology #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
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Spontaneous Bacterial ... RBCs) • Obtain bacterial ... paracentesis = improved ... dL and advanced liver ... SBP #diagnosis #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
Sepsis - Interventions that do / do not improve outcomes
Do:
- Have high index of suspicion and
that do / do not improve ... think patient has bacterial ... for persistent septic ... noradrenaline - Lots ... Interventions #Management
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
initiation • ART ↑ improves ... drug-resistant infection, bacterial ... • HBV, HCV - Hepatic ... ART for 5 weeks improved ... Differential #Diagnosis #Management