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The Gastroenterology Consult Primer
Guide to Calling a GI Consult
HPI:
 - Start with reason for consult
consult - I-liner ... lipase PMH: - Focus ... on prior GI/Liver ... last meal - Treatment ... GregoryTBrennan #Liver
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 ... Hepatitis Procedures Management ... gastroenterology #management
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
RRT leader • Ask ... • Concise one-liner ... Orders placed, treatments ... Response #Team #RRT #Management ... #treatment #criticalcare
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
for Albumin for Management ... paracentesis (>5 liter ... ) - 8g per liter ... #Indications #Management ... #Cirrhosis #treatment
An Algorithm for the Management of Seizures

The management of active seizures is algorithmic, starting with a
Algorithm for the Management ... Seizures The management ... and bag-valve mask ... Pharmacologic treatment ... The focus is on
Hepatitis B - Treatment Indications
Treatment not indicated:
 • Immune tolerant state - HBe-Ag detectable, high HBV
Hepatitis B - Treatment ... Indications Treatment ... infection with severe liver ... mg/dL) or acute liver ... #Indications #management
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Portosystemic Shunt • Liver ... Cirrhosis #diagnosis #treatment ... #management
Treatment of Alcohol Use Disorder

Treatment options for AUD include psychosocial treatment and medications. Individualize based on
Treatment of Alcohol ... Use Disorder Treatment ... Contraindicated: severe liver ... Can be used in liver ... #Management #AUD
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... Dehydration Shock Treatment ... criticalcare #algorithm #treatment ... #management
Alcoholic Hepatitis - Management Algorithm
1. Severity assessed not only by MDF (>32) but also by MELD
Alcoholic Hepatitis - Management ... can be bridge to Liver ... Alcoholic #Hepatitis #Management ... #Algorithm #treatment