21 results
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... Decompensation • Ascites ... • Variceal Bleeding ... Portosystemic Shunt • Liver ... diagnosis #treatment #management
Secondary Bacterial Peritonitis (SBP) on Abdominal POCUS

Cirrhosis with fever/abd pain-?SBP. POCUS for win.  Secondary bacterial
Secondary Bacterial ... Cirrhosis with ... POCUS for win. ... #clinical #ultrasound ... Pneumoperitoneum #Complex #Ascites
Portal Hypertension - Differential Diagnosis
Portal Pressure = the pressure difference between the pressure in the portal
>10 mmHg - clinically ... of portal HTN: ascites ... portal HTN: • Ascites ... sarcoidosis) • Liver ... metastasis • Fatty liver
Cirrhosis, ascites, edematous gallbladder wall and a gallstone on Abdominal Ultrasound - POCUS 

Dr. J. Christian
Cirrhosis, ascites ... #Liver #Gallbladder ... #Gallstone #Ascites ... #Ultrasound #POCUS ... #Clinical #Abdominal
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
= nonspecific (nausea ... develops (DIC, ascites ... Intrahepatic Cholestasis Management ... Maternal Support - Critical ... obgyn #diagnosis #management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
by inoculating ascitic ... Distinguish from secondary ... Any etiology (variceal ... dL and advanced liver ... SBP #diagnosis #management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
Diagnosis and Management ... the setting of liver ... lung disease Caused ... shunt (Type 2) Clinical ... with or without cirrhosis
Complex Ascites on POCUS
62 yo F with rec dx colon CA s/p colectomy, liver cirrhosis w
on POCUS 62 yo ... s/p colectomy, liver ... cirrhosis w ascites ... POCUS performed ... #POCUS #SBP #clinical
Bibasilar Atelectasis secondary to massive ascites

Finally, large volumes of intra-abdominal fluid can lead to elevated hemi-diaphragms-->bibasilar
Bibasilar Atelectasis secondary ... to massive ascites ... under-recognized cause ... pulmonary #lung #clinical ... #pocus #ultrasound
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
organ damage Clinical ... or venipuncture sites ... DIC • Severe Liver ... Treat primary cause ... #treatment #management