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The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
summary - Symptoms ... Focus on prior GI/Liver ... pulm/oncologic Meds ... last meal - Treatment ... GregoryTBrennan #Liver
Cor triatriatum
 • Epidemiology
 • Etiology
 • Associated Lesions
 • Differentials Diagnosis
 • Anatomy - Sinister,
Associated Lesions • Differentials ... Physiology • Clinical ... Diagnosis • Treatment ... #cardiology #summary ... #peds #pediatrics
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic Liver ... Failure (ACLF) Clinical ... months without treatment ... disease, liver ... support, or liver
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... Transfer to a liver ... #AFLP #Fatty #Liver
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
acid lipase is critical ... accumulation in the liver ... #clincial #peds ... calcifications #infant #NEJM
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
Ask for brief summary ... • Concise one-liner ... RRT: • Final summary ... questions "Never ... Response #Team #RRT #Management
Treatment of Alcohol Use Disorder

Treatment options for AUD include psychosocial treatment and medications. Individualize based on
Contraindicated: severe liver ... Can be used in liver ... tolerated prior meds ... settings where meds ... #Management #AUD
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... Dehydration Shock Treatment ... criticalcare #algorithm #treatment ... #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Summary A defect ... the setting of liver ... shunt (Type 2) Clinical ... • Underlying liver ... hypertension • Liver
Prevention and Treatment of Nutritional Complications after Bariatric Surgery
Types of Bariatric Surgery:
 • Adjustable Gastric Banding
Prevention and Treatment ... Switch (BPD-DS) Management ... Gallstones • Liver ... Surgery #Diagnosis #Differential ... #Treatment #Complications