37 results
Beta-Blockers in Cirrhosis
 • Pathophysiology
 • Indications:  Prevention of decompensation, Prevention of first variceal bleeding,
Prevention of first variceal ... bleeding, Prevention ... of variceal rebleeding ... Cirrhosis #hepatology #management ... #pharmacology #
Esophageal Variceal Bleeding - Scoping Summary
GENERAL PRINCIPLES OF MANAGEMENT (VARICEAL-B):
V - Vasoconstrictor therapy: (Octreotide 50mcg bolus
Bleeding - Scoping ... PRINCIPLES OF MANAGEMENT ... Bleed Management ... #Varices #Bleeding ... Summary #Endoscopy #diagnosis
Managing warfarin INR

Warfarin dosage must be individualized according to the patient's response to the drug, and
lead to severe bleeding ... #management #algorithm ... #pharmacology # ... #medications #table ... decisionaid #cardiology #hematology
Idiopathic Thrombocytopenic Purpura 
Clinical:
 • Gingival 
 • Menorrhagia 
 • GI bleeding 
 • Intracranial
Menorrhagia • GI bleeding ... Intracranial hemorrhage Management ... only for severe bleeding ... Thrombocytopenia #Diagnosis ... #Overview #Hematology
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
• Hypovolemic: Bleeding ... vasoactive drug pharmacology ... #inopressors #diagnosis ... #management #comparison ... #table
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Ulcer Disease • Variceal ... Bleeding • Mallory ... #Differential #Diagnosis ... #management #Algorithm
Endoscopic Bleeding Risk - Summary points from ASGE guideline 

Low Risk Procedures 
 - Diagnostic endoscopy
Endoscopic Bleeding ... Procedures - Diagnostic ... Polypectomy - Variceal ... LowRisk #HighRisk #Diagnosis ... #Management #Guidelines
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
• Ascites • Variceal ... Bleeding • Hepatic ... inpatient #Cirrhosis #diagnosis ... #treatment #management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... and Management ... #Bleeding #Diagnosis ... #Management #treatment
Hemophilia - Diagnosis and Management
Diagnosis:
 • Consistent bleeding history (unless screening for disease in family members
and Management ... bleeding history ... Chronic Management ... #Management #treatment ... #hematology