16 results
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Disease (Cirrhosis ... Complications • Ascites ... Esophageal Varices • Hepatic ... Bacterial Peritonitis (SBP ... #diagnosis #management
Management and Complications of Cirrhosis and Ascites

Ascites Workup Algorithm
Ascites Management
Refractory Ascites
Hyponatremia
Spontaneous Bacterial Peritonitis (SBP)
Hepatic Hydrothorax
AKI in
Management and Complications ... of Cirrhosis and ... Bacterial Peritonitis (SBP ... ) Hepatic Hydrothorax ... AKI in Cirrhosis
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
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
of portal HTN: ascites ... to non-cirrhotic ... portal HTN: • Ascites ... sarcoidosis) • Liver ... metastasis • Fatty liver
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
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Causes of Ascites ... Liver disease ... - Cirrhosis ... - Acute fatty liver ... #Causes #diagnosis
Causes of Ascites - Differential Diagnosis Algorithm
Portal Hypertension - Prehepatic:
 • Portal vein thrombosis
 • Splenic
Causes of Ascites ... Hypertension - Hepatic ... : • Cirrhosis ... disease • Acute liver ... Hypertension - Post-Hepatic
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Bacterial Peritonitis (SBP ... Ascites PMN > ... Presentation in septic ... protein (< 1.5g/L) ascites ... dysfunction or liver
Upper GI Bleed - Management Algorithm

Upper GI bleed Suspected: Melena, hematemesis, coffee-ground emesis, BRBPR
Initial Stabilization
Concern for
Upper GI Bleed - Management ... Consult GI ± EGD Causes ... GI Bleed: • Peptic ... Ulcer Disease • Variceal ... GAVE (idiopathic, liver
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... Diuretics ↑ ascitic ... Any etiology (variceal ... dL and advanced liver ... #diagnosis #management