21 results
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic Liver ... Clinical Guidelines ... months without treatment ... Injury (DILI) ... #Hepatology #gastroenterology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Insufficiency, Liver ... Failure, Toxins ... Medications, Spinal Cord Injury ... • Hypovolemic: Blood ... Differential #Diagnosis #criticalcare
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
acid metabolism products ... = nonspecific (nausea ... failure rapidly ... Maternal Support - Critical ... #Pregnancy #hepatology
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
Blood Product Transfusions ... hypoTN, renal failure ... Related Acute Lung Injury ... eruptions, diarrhea, liver ... Blood products contain
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
removal from the blood ... or renal injury ... perfusion - shock->treatments ... before beginning treatment ... Injury: • Reduced
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
hypoTN, renal failure ... Causes purpura & ... Related Acute Lung Injury ... eruptions, diarrhea, liver ... Blood products contain
Autoimmune Hepatitis

Clinical Presentation
 - Highly variable clinical presentation, from subclinical disease to acute liver failure.
 -
disease to acute liver ... failure ... injury, though ... regarding need for treatment ... Diagnosis #Management #Hepatology
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
is inadequate blood ... essential to determine treatment ... Obstruction (HOCM, critical ... neuraxial anesthesia), Liver ... guyton #curves #criticalcare
Thiamine Deficiency - Differential Diagnosis Framework and Clinical Manifestations

Causes of Thiamine Deficiency:
 • Poor intake:
	- Diets
Framework and Clinical ... Manifestations Causes ... cereals, Milk products ... increase venous blood ... GFR • Acute liver
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
Risk factors: Critical ... of high parity blood ... without other cause ... : 33% • Treatment ... CVP, left heart failure