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
Causes of Seizures - Differential Diagnosis Algorithm
Unprovoked - Epilepsy:
 • Focal: Simple, Complex
 • Generalized: Absence,
- Differential Diagnosis ... Moyamoya • Toxic: Alcohol ... Encephalitis, Brain Abscess ... Hypoxia, Uremia, Liver ... Algorithm #Causes #neurology
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
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
Hyponatremia - Diagnosis ... Assess volume status ... include vaptans (HF/liver ... #Treatment #management ... #nephrology #sodium