33 results
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
Liver Abscess
•	Pyogenic abscess, accounts for 80% of abscess.
•	Amebic abscess due to Entamoeba histolytica, accounts for 10%.
•	Fungal
Liver Abscess • ... abscess & antibiotic treatment ... cornerstones of treatment ... may rupture U/S ... drainage- first-line treatment
VExUS - Venous Excess Ultrasound Score 

The Venous Excess UltraSound (VExUS) grading system prototypes combining inferior
the systolic (S) ... still toward the liver ... abnormal when the S ... with a systolic (S) ... Congestion #Diagnosis #POCUS
Chronic Hepatitis B - Diagnosis and Management Algorithm

• Who to treat: Essentially treat the pts with
HAV immunity; Liver ... elastographv, liver ... • Liver is the ... Wilson E, Kottilil S. ... Diagnosis #Management #Treatment
Live Ectopic Pregnancy on Transvaginal POCUS

Young female patient, severe abdominal pain. +preg test. Pelvic exam followed
Live Ectopic Pregnancy ... on Transvaginal POCUS ... exam followed by POCUS ... transvaginal showed ... Live 12-week ruptured
Portal venous gas on hepatic ultrasound: A concerning finding in the critically ill patient that should
The U/S image demonstrates ... ultrasound #hepatology #liver ... #pocus #clinical
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
the setting of liver ... on room air in seated ... • Underlying liver ... ) on room air Treatment ... diagnosis #management #treatment
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
Cutoff > 2.8 m/s ... pressure < 15mmHg TREATMENT ... PATENT-1 study showed ... hemodynamics Liver
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Treat underlying liver ... → No specific treatment ... nephrostomy tube(s) ... ureteral stent(s) ... Kidney #Injury #treatment
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
protein C and S ... DIC • Severe Liver ... + Bleeding Treatment ... diagnosis #causes #treatment