21 results
Acute-on-Chronic Liver Failure (ACLF) Clinical Guidelines

ACLF = possibly reversible condition in those with CLD (± cirrhosis)
Acute-on-Chronic Liver ... months without treatment ... disease, liver ... Failure Infections Alcohol-Associated ... #diagnosis
Liver Abscess and Mimics - Differential Diagnosis
Most Common: Polymicrobial, E Coli, Klebsiella, Strep/Enterococcus, Staph, Anaerobes
Infectious Differential:
Liver Abscess and ... - Differential Diagnosis ... bartonella - Fungal ... Kumfer @AnnKumfer #Liver ... #management
Lung Abscess - Diagnosis and Management Summary

Lung Abscess Etiology:
 • Necrosis of lung parenchyma by a
Lung Abscess - Diagnosis ... and Management ... decubitus - air fluid level ... Prevotella • Fungal ... #treatment #diagnosis
Approach to the Hospitalized Patient with Cirrhosis
1) Recognize and Manage Decompensation
 • Ascites
 • Variceal Bleeding
Common Scenarios • Alcoholic ... Portosystemic Shunt • Liver ... inpatient #Cirrhosis #diagnosis ... #treatment #management
Candidemia Workup and Management - IDSA Guidelines
1) Antibiotics
 • Empiric: Echinocandins (e.g. micafungin) for most patients
Candidemia Workup and Management ... within one week to assess ... Consider: Spine, CNS, liver ... #candidiasis #treatment ... #fungal #fungemia
Suspected catheter-related bloodstream infection - Management Algorithm
 • Temperature 37.8 C   • Rigors
• Persistent fever ... endocarditis, epidural abscess ... pathogens (S. aureus, fungal ... Hernodynamically stable after treatment ... Algorithm #CRBSI #diagnosis
Navigating a Rapid Response Team (RRT)

Assert Leadership:
 • Stand at foot of bed
 • Introduce yourself
• Confirm IV access ... • Concise one-liner ... Wrap up RRT: • Final ... questions "Never ... Response #Team #RRT #Management
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
the setting of liver ... • Underlying liver ... ) on room air Treatment ... hypertension • Liver ... #management #treatment
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Mississippi and Ohio River ... Increased protein level ... normal glucose level ... Sinusitis • Brain abscess ... #Diagnosis #Management
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
stores in the liver ... beta-oxidation in the liver ... elevates the stress level ... #diagnosis #differential ... #algorithm #management