10 results
 End Stage Liver Disease (Cirrhosis) - Complications 
 • Ascites
 • Esophageal Varices
 • Hepatic
Complications • Ascites ... Bacterial Peritonitis (SBP ... Complications #diagnosis #management ... #summary #hepatology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
SBP <90, drop in ... SBP > 40 - End-organ ... Severe auto-PEEP, Abdominal ... Differential #Diagnosis #criticalcare ... #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... : SBP<90, SBP drop ... Mental Status (SBP ... #Summary #criticalcare ... #treatment #workup
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Bacterial Peritonitis (SBP ... Presentation in septic shock ... , cefotaxime) SBP ... #Peritonitis #SBP ... #hepatology
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
and Management ... Summary Paracentesis ... hypertensive source • SBP ... suggests higher SBP ... #Summary #Hepatology
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
culture-positive SBP ... culture-positive SBP ... , mortality in SBP ... Prior history of SBP ... #Peritonitis #SBP
Sepsis - Diagnosis and Management
Life-threatening organ dysfunction caused by a dysregulated host response to infection
SEPTIC SHOCK
infection SEPTIC SHOCK ... Patients w/ septic shock ... SBP < 100 3. ... recognition and treatment ... #QSOFA #SIRS #criticalcare
Disseminated Intravascular Coagulation (DIC) Overview

Increased Clotting and Consumption of Clotting Factors

Findings:
 • Bleeding
 • Recent history
dysfunction (16%) • Shock ... or venipuncture sites ... + Bleeding Treatment ... diagnosis #causes #treatment ... #management #hematology
Heparin Induced Thrombocytopenia (HIT) - Diagnosis and Management - GrepMed Handbook

Presentation: 
 • Plts ↓50% (nadir
Diagnosis and Management ... (at injection sites ... Significant false ⊕’s, so ... Confirmatory test ↑Se/Sp ... #Treatment #Hematology
Alcoholic Hepatitis - Management Algorithm
Assess Eligibility for Treatment:
 - Maddrey Discriminant Function ≥ (or possibly MELD
Alcoholic Hepatitis - Management ... >20) - Obtain abdominal ... blood, urine and ascites ... Multiorgan failure or shock ... #Algorithm #hepatology