7 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
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 ... Ulcer Disease • Variceal ... GAVE (idiopathic, liver ... gastrointestinal #gastroenterology
Algorithm regarding the diagnosis and treatment of Hereditary Hemochromatosis HH. 

Step 1: In the patient with
Patients with cirrhosis ... out additional causes ... If other causes ... algorithm #diagnosis #management ... #hepatology #gastroenterology
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
Protein Losing Enteropathy
Clinical Presentation:
 • Volume overload: Peripheral edema, pleural effusion or ascites.
 • Gl symptoms
pleural effusion or ascites ... without apparent cause ... lymphatics: Primary or secondary ... Enteropathy #diagnosis #management ... #gastroenterology
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
ulceration • Varicella ... progression of cirrhosis ... unintentional weight loss, nausea ... : encephalitis secondary ... Differential #Diagnosis #Management
Sjogren's Syndrome Overview

Epidemiology:
• F > M: 9:1
• 5-6th Decades (can be any age)

Autoimmune exocrinopathy multisystemic disease
other diseases • Secondary ... Hypocomplementemia • Can cause ... vasculitis: 10%-16% Liver ... primary biliary cirrhosis ... Rheumatology #Diagnosis #Management