12 results
Beta-Blockers in Cirrhosis
 • Pathophysiology
 • Indications:  Prevention of decompensation, Prevention of first variceal bleeding,
Beta-Blockers in Cirrhosis ... bleeding, Prevention ... of variceal rebleeding ... #hepatology #management ... #pharmacology #
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Hospitalized Patient with Cirrhosis ... • Ascites • Variceal ... Bleeding • Hepatic ... #diagnosis #treatment ... #management
Esophageal Variceal Bleeding - Diagnosis and Management Summary
PRE-ENDOSCOPY
Vasoactive agents - Octreotide: 
 • 50mcg bolus →
Bleeding - Diagnosis ... and Management ... after hemostasis Antibiotics ... #Bleeding #Diagnosis ... #Management #treatment
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Diagnosis and Management ... • Large volume feeding ... Lung Abscess Differential ... Abscess #pulmonary #differential ... #causes #management
Evidence for Treatment of Acute Esophageal Variceal Bleeding
 • Octreotide (PMID: 11870374) - Endoscopic banding +
Evidence for Treatment ... Acute Esophageal Variceal ... endoscopic banding • Antibiotics ... Endoscopic Variceal ... #management #ebm
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
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
irrigation • Management ... roentgenography • Bleeding ... with specific bleeding ... Tolvaptan) • Treatment ... Diuresis #Nephrology #Pharmacology
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
Diagnosis and Management ... Prevalence: At cirrhosis ... Infection, GI bleeding ... non-absorbable antibiotic ... Classification #Diagnosis #Management
Checklist for Treatment of Delirium in the ICU 

Remove causative factors 
 - 
Exclude hypoglycemia if
Checklist for Treatment ... Q8hr - If cirrhotic ... If difficulty sleeping ... , administer pharmacologic ... Delirium #Checklist #Management
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
improved outcomes 1) Antibiotics ... Any etiology (variceal ... not) - ↓ rebleeding ... SBP #diagnosis #management ... #prophylaxis #treatment