6 results
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Disease (Cirrhosis ... Complications • Ascites ... Esophageal Varices • Hepatic ... Bacterial Peritonitis (SBP ... #diagnosis #management
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... portal HTN: • Ascites ... INR, bilirubin, albumin ... • Cardiac causes ... sarcoidosis) • Liver
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Decompensation • Ascites ... • Variceal Bleeding ... • Hepatic Encephalopathy ... Portosystemic Shunt • Liver ... diagnosis #treatment #management
VIBES Mnemonic - Cirrhosis Checklist

V - Volume (Ascites/HRS)
I - Infection (SBP)
B - Bleeding (Variceal)
E - Hepatic
V - Volume (Ascites ... I - Infection (SBP ... B - Bleeding (Variceal ... ) E - Hepatic Encephalopathy ... Checklist #Mnemonic #Management
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Ascites PMN > ... Presentation in septic ... response Give IV albumin ... protein (< 1.5g/L) ascites ... dysfunction or liver
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
as 10 days 2) Albumin ... : lg/kg of 25% albumin ... Any etiology (variceal ... dL and advanced liver ... #diagnosis #management