9 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
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 ... challenged by ongoing outcome ... Cholangitis #diagnosis #management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Spontaneous Bacterial ... due to similar outcomes ... paracentesis = improved outcomes ... dL and advanced liver ... SBP #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
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
do not improve outcomes ... think patient has bacterial ... for persistent septic ... noradrenaline - Lots ... Interventions #Management
TAFRO

TAFRO syndrome was first described in 2010, standing for:
- Thrombocytopenia
- Anasarca
- Fever
- Reticulin fibrosis
- Organomegaly

TAFRO syndrome
including acid fast bacterial ... thrombocytopenia syndrome (SFTS ... syndrome - IGG4 - Hepatic ... TAFRO #diagnosis #management