14 results
Alcoholic Hepatitis - Management Algorithm
1. Severity assessed not only by MDF (>32) but also by MELD
Alcoholic Hepatitis ... - Management Algorithm ... Rule out infection ... Niriella @madunil #Alcoholic ... #treatment #hepatology
Acute Diarrhea - Differential Diagnosis Framework
1)  Diagnostic studies only for dysentery, severe disease, >7 days
2)
disease, >7 days 2) PCR ... culture 3) Empiric antibiotics ... recommended Infectious ... NonInfectious #Algorithm ... #gastroenterology
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
months without treatment ... Coagulation Failure Infections ... Alcohol-Associated ... Failure #Cirrhosis #Hepatology ... #gastroenterology
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
polymicrobial infection ... pneumonia • Chronic alcoholism ... Clindamycin in case of PCN ... hemorrhage • Treatment ... treatment until
Causes of Fatigue - Differential Diagnosis Algorithm
Endocrine
 • Hypo/Hyperthyroidism
 • Diabetes
 • Pituitary Insufficiency
 • Adrenal
Differential Diagnosis Algorithm ... Neoplastic / Hematologic ... • Malignancy Infectious ... Myasthenia Gravis Pharmacologic ... Alcohol) • Drug
Esophageal Necrosis
Etiology:
 - Ischemia and Gastric Outlet Obstruction with GERD may be inciting events
 - Associated
broad spectrum antibiotic ... use, infections ... binge, Alcoholic ... : - Treatment of ... diagnosis #management #gastroenterology
Sulfonamides - Antibiotics Class Overview

BACTRIM/SEPTRA (TMP/SMX) - inhibit sequential steps in Folate synthesis --> bacteriostatic

Spectrum: Wide
Sulfonamides - Antibiotics ... purposes including PCP ... choice, both for treatment ... in PCN-allergic ... #Pharmacology #Antibiotics
Drug Induced Liver Injury (DILI) - Stepwise Diagnosis Algorithm
DILI suspicion
Features toxic aetiology: Skin involvement, Kidney injury,
Stepwise Diagnosis Algorithm ... non-essential drug/HDS treatments ... Hepatocellular: Viral infections ... HEV, EBV, CMV), Alcohol-related ... #hepatology
Refractory Helicobacter Pylori Infection

Causes:
 • Antibiotic resistance (i.e. prior antibiotic exposure to levofloxacin)
 • Non-adherence (i.e.
Helicobacter Pylori Infection ... Causes: • Antibiotic ... leads to more treatment ... diagnosis #management #algorithm ... #gastroenterology
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
Precipitants: Infection ... Constipation, Alcohol ... Initiate empiric treatment ... non-absorbable antibiotic ... #hepatology