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clinical ultrasound echocardiogram cardiology diagnosis a4c lung management pulmonary abdominal msk effusion radiology plax differential algorithm sign aortic labeled aorta
Approach to the Hospitalized Patient with Cirrhosis 1) Recognize and Manage Decompensation • Ascites • Variceal Bleeding
Ascites • Variceal Bleeding ... Transjugular Intrahepatic Portosystemic
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
Non-cirrhotic Hyperammonemia - Differential Diagnosis Framework Hematologic & Vascular: • Multiple myeloma & Acute leukemia (plasma cells
• Congenital portosystemic ... - TPN, GI 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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 Transjugular Intrahepatic Portosystemic Shunt (TIPS) TIPS involves the creation of a low-resistance pathway between a hepatic vein
Transjugular Intrahepatic Portosystemic ... #Intrahepatic #Portosystemic
Beta-Blockers in Cirrhosis • Pathophysiology • Indications: Prevention of decompensation, Prevention of first variceal bleeding,
first variceal bleeding ... Prevention of variceal rebleeding
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
Transhepatic Intrajugular Portosystemic Shunt (TIPS) Indications: • Ascites / Hepatic Hydrothorax • Variceal Bleeding Cardiopulmonary, Renal, and
Transhepatic Intrajugular Portosystemic ... Hydrothorax • Variceal Bleeding ... #Intrajugular #Portosystemic
Partial molar pregnancy found POCUS in the peds ED. Hypertensive, no vomiting, no bleeding. - Dr.
pregnancy found POCUS ... no vomiting, no bleeding ... Ultrasound #Clinical #POCUS
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 Blood Clot in the Bladder on POCUS 75yo F with dementia presents from skilled nursing facility with
the Bladder on POCUS ... with “vaginal bleeding ... PoCUS clarified ... and not “vaginal bleeding ... Clot #Bladder #POCUS
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