7 results
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... • Ascites • Variceal ... Bleeding • Hepatic ... DeanEhrlich_MD #inpatient #Cirrhosis ... #diagnosis #treatment
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Esophageal Variceal ... Bleeding - Diagnosis ... PERI-ENDOSCOPY Endoscopic variceal ... #Esophageal #Variceal ... #Bleeding #Diagnosis
Preventing Decompensation in Cirrhosis 

cACLD, CSPH, and the Rule of Five
Prevention of Decompensation
Nonselective Beta Blockers (NSBB)
Preventing
Decompensation in Cirrhosis ... Preventing recurrent variceal ... Preventing recurrent bleeding ... #Prevention #treatment ... #management #hepatology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Peritonitis DIAGNOSTICS ... Any etiology (variceal ... not) - ↓ rebleeding ... Peritonitis #SBP #diagnosis ... #prophylaxis #treatment
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
Prevalence: At cirrhosis ... Infection, GI bleeding ... acid by colonic bacteria ... ammonia-producing colonic bacteria ... #hepatology
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
of a previously diagnosed ... No specific diagnostic ... drug-resistant infection, bacterial ... ulceration • Varicella ... progression of cirrhosis
Monkeypox

What?
Monkeypox virus belongs to the family Poxviridae, subfamily Chordopoxvirinae, and genus orthopoxvirus
Viral zoonotic disease that is
rectal pain, rectal bleeding ... involved DDX: Varicella ... : • Cutaneous bacterial ... Respiratory distress Treatment ... Monkeypox #MPOX #Diagnosis