13 results
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
End Stage Liver ... Complications • Ascites ... Syndrom (HRS) • Liver ... • Spontaneous Bacterial ... SBP) #ESLD #Liver
Causes of Ascites
Normal Peritoneum
Portal hypertension (SAAG > 1.1 g/dL)
  1. Hepatic congestionl
Liver disease ... - Acute fatty liver ... Infections - Bacterial ... Mediterranean fever ... Causes #diagnosis #differential
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Spontaneous Bacterial ... Ascites PMN > ... protein (< 1.5g/L) ascites ... dysfunction or liver ... #Spontaneous #Bacterial
Acute Fatty Liver of Pregnancy (AFLP)
Pathophysiology:
 • Defect in fetal free fatty acid metabolism products →
Acute Fatty Liver ... hepatocytes → Liver ... malaise) → Acute liver ... develops (DIC, ascites ... Transfer to a liver
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
Spontaneous Bacterial ... by inoculating ascitic ... if other signs (fever ... dL and advanced liver ... SBP #diagnosis #management
Prone Cardiopulmonary Resuscitation (P-CPR)
 - Confirm cardiac arrest
 - Shout for help
 - Commence prone CPR
(Mid-thoracic level ... End tidal CO2 / arterial ... www.ficm.ac.uk/sites ... PCPR #algorithm #management ... #criticalcare
Lactic Acidosis - Differential Diagnosis Framework

Type A: Impaired O2 Delivery (DO2)
 • Decreased O2 Delivery: Hypotension
Lactic Acidosis - Differential ... Clearance: Systemic liver ... Biotin) Type D: Bacterial ... • Bacteria ferment ... #Diagnosis #criticalcare
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Insufficiency, Liver ... Sophia_Hayes_MD #Shock #Differential ... #Diagnosis #criticalcare ... algorithm #treatment #management
Liver Abscess and Mimics - Differential Diagnosis
Most Common: Polymicrobial, E Coli, Klebsiella, Strep/Enterococcus, Staph, Anaerobes
Infectious Differential:
Liver Abscess and ... Mimics - Differential ... : - Bacterial: ... Kumfer @AnnKumfer #Liver ... Diagnosis #hepatology #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