41 results
The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
The Gastroenterology ... Focus on prior GI/Liver ... last meal - Treatment ... GregoryTBrennan #Liver ... Calling #Referral #Gastroenterology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic Liver ... months without treatment ... disease, liver ... support, or liver ... Cirrhosis #Hepatology #gastroenterology
Liver Mass Differential Diagnosis
Solid:
 • Benign: Hepatic Hemangioma, Focal nodular hyperplasia, Hepatocellular adenoma, Regenerative nodules
 •
Liver Mass Differential ... Cystadenoma, Polycystic liver ... Echinococcus #Liver ... #Mass #Differential ... Diagnosis #hepatology #Radiology
Hepatobiliary Manifestations of Sickle Cell Disease
Acute sickle cell hepatic crisis:
 • Fever, acute onset RUQ pain,
hepatic crisis: • Fever ... Supportive with treatment ... progressing to acute liver ... Liver transplant ... hepatology #hepatitis #differential
Diagnosis and Management of Idiosyncratic Drug-induced Liver Injury (DILI)

DILI Types:
 • Intrinsic - predictable, dose dependent
Idiosyncratic Drug-induced Liver ... or symptoms of liver ... Drug #induced #Liver ... Idiosyncratic #differential ... #algorithm #gastroenterology
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Stabilization Concern for Liver ... GAVE (idiopathic, liver ... UGIB #GIBleed #Differential ... gastrointestinal #gastroenterology
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
diagnosis and treatment ... symptoms, elevated liver ... should be TS and SF level ... A liver biopsy can ... management #hepatology #gastroenterology
Hepatojugular Reflux (Abdominojugular Test) on Physical Exam

Firm pressure over the liver elicits distension of the jugular
pressure over the liver ... PhysicalExam #clinical #video ... #cardiology #JVP
Hepatojugular Reflux (Abdominojugular Test) on Physical Exam

Firm pressure over the liver elicits distension of the jugular
pressure over the liver ... PhysicalExam #clinical #video ... #cardiology #JVP
Approach to Conjugated Hyperbilirubinemia - Differential Diagnosis Algorithm

1. Definition: T.bili elevation + >20% conjugated
2. Obtain RUQ
Hyperbilirubinemia - Differential ... MRCP, ERCP, liver ... direct #bilirubin #Differential ... Diagnosis #Algorithm #gastroenterology