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

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic ... Liver Failure ( ... disease, liver ... support, or liver ... Cirrhosis #Hepatology #gastroenterology
Diagnosis and Management of Idiosyncratic Drug-induced Liver Injury (DILI)

DILI Types:
 • Intrinsic - predictable, dose dependent
Idiosyncratic Drug-induced Liver ... presentation • Chronic ... or symptoms of liver ... disease 6-9 mo ... Drug #induced #Liver
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Stabilization Concern for Liver ... Disease Consult ... GAVE (idiopathic, liver ... UGIB #GIBleed #Differential ... gastrointestinal #gastroenterology
Red Blood Cell (RBC) Morphology
Microcytic RBC: Pyridoxine deficiency, Thalassemia, Iron deficiency anemia, Chronic disease anemia (sometimes),
Folate deficiency, Liver ... Artifact, Uremia, Liver ... stomatocytosis, Liver ... liver disease, ... RBC #Morphology #differential
The Liver Consult Primer - Guide to calling a consult
HPI:
 - Start with reason for consult
The Liver Consult ... current MELD - Chronic ... liver disease work ... up - Liver US ... Referral #Hepatology #Gastroenterology
Causes of Anemia by Mean Corpuscular Volume (MCV) - Differential Diagnosis Algorithm
Low Mean Corpuscular Volume (<80
Volume (MCV) - Differential ... • Anemia of Chronic ... Renal Disease, Liver ... Reticulocytosis • Liver ... Classification #Differential
Bilateral Lower Extremity Swelling - Differential Diagnosis Framework
Acute:
 • DVT *Can't Miss Diagnosis
 • Medication Side
Extremity Swelling - Differential ... Nephrotic Syndrome Chronic ... • Chronic Heart ... Failure • Liver ... Extremity #Swelling #Differential
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Acute Liver Injury ... - Differential ... • NASH, Chronic ... injury: > 3 • Chronic ... injury #hepatitis #differential
Ascites - Differential Diagnosis
Chronic liver disease (cirrhosis or chronic hepatitis) - 80%
Underlying malignancy - 10%
Congestive heart
Ascites - Differential ... Diagnosis Chronic ... liver disease ( ... cirrhosis or chronic ... HIV-related, Renal Disease
Liver Chemistries - Interpretation of LFTs

R-value: Serum (ALT/ULN ALT) / (Alk phos/ULN ALP)
 • R >
Hepatocellular Level ... of cholestatic disease ... disease: > 2 ... • NASH, Chronic ... chemistry #diagnosis #differential