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diagnosis management clinical differential algorithm gastroenterology hematology causes treatment pathophysiology pharmacology video endoscopy pocus pulmonary ultrasound criticalcare anticoagulation classification cardiology
Transhepatic Intrajugular Portosystemic Shunt (TIPS) Indications: • Ascites / Hepatic Hydrothorax • Variceal Bleeding Cardiopulmonary, Renal, and
Transhepatic Intrajugular Portosystemic ... Hydrothorax • Variceal Bleeding ... #Intrajugular #Portosystemic
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Ascites • Variceal Bleeding ... Transjugular Intrahepatic Portosystemic
Non-cirrhotic Hyperammonemia - Differential Diagnosis Framework Hematologic & Vascular: • Multiple myeloma & Acute leukemia (plasma cells
• Congenital portosystemic ... - TPN, GI bleeding
Esophageal Variceal Bleeding - Diagnosis and Management Summary PRE-ENDOSCOPY Vasoactive agents - Octreotide: • 50mcg bolus →
Esophageal Variceal Bleeding ... Transjugular intrahepatic portosystemic ... Esophageal #Variceal #Bleeding
Hepatic Encephalopathy - Diagnosis and Management Summary Definition: • Alteration in brain function manifested by neuropsychiatric symptoms
insufficiency and/or portosystemic ... Infection, GI bleeding
Forrest Classification for Peptic Ulcer Bleeding Rebleeding risks are without endoscopic intervention 1a - Spurting Bleed - 60-100%
for Peptic Ulcer Bleeding ... Bleed - 60-100% Re-bleeding ... Bleed - 50% Re-bleeding ... IIa - Non-Bleeding ... Clot - 20-30% Re-bleeding
Portosystemic collaterals in Cirrhosis Milking abdominal veins demonstrates centrifugal blood flow in caput medusae. Dr. Boby Varkey Maramattom
Portosystemic collaterals
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 Forrest Classification for Describing Endoscopic Findings in Patients With Bleeding Ulcers and Predicting Risk of Rebleeding Classification
Patients With Bleeding ... Predicting Risk of Rebleeding ... Diet I Active bleeding ... II Stigmata of bleeding ... Endoscopy #EGD #Risk #Rebleeding
Beta-Blockers in Cirrhosis • Pathophysiology • Indications: Prevention of decompensation, Prevention of first variceal bleeding,
first variceal bleeding ... Prevention of variceal rebleeding
Transjugular Intrahepatic Portosystemic Shunt (TIPS) TIPS involves the creation of a low-resistance pathway between a hepatic vein
Transjugular Intrahepatic Portosystemic ... #Intrahepatic #Portosystemic
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