VIBES Mnemonic - Cirrhosis Management Checklist V - Volume (Ascites, HRS) - Evaluate for Ascites, Edema, Hydrothorax, Hepatorenal Syndrome - Tx: Na restriction, lasix + spironolactone (2:5 ratio), paracentesis / TIPS I - Infection (SBP) - Ascites PMN count > 250 - Tx: Ceftriaxone, Ppx: bactrim or FQ B - Bleeding (Variceal) - Ddx: Gastric + esophageal gastric varices, portal hypertensive gastropathy, coagulopathy. - Tx: PPI, octreotide, EGD -> variceal ligation. - Ppx (non-bleeding varices): Non-selective beta-blockers E - Hepatic Encephalopathy - Lactulose + Rifaximin. Do not restrict protein. S - Screening (HCC and Transplant) - RUQUS + AFP (q6m), EGD, Transplant Eval, Vaccines (HAV, HBV, PNA) #VIBES #Cirrhosis #Checklist #Mnemonic #Management #Diagnosis #Hepatology #Gastroenterology
