The Liver Consult Primer - Guide to calling a consult HPI: - Start with reason for consult - 1-liner summary - Important findings: jaundice, coagulopathy, AMS - Reason for admission (if different) PMHx: - Focus on prior Liver/Gl History - Cirrhosis & complications/ MELD - Prior GI surgeries, TIPS, paracentesis - Prior endoscopy & endoscopist (GEV or PHG) Data: - Vitals - LFTs, plt, INR, GTT, indirect bili/ current MELD - Chronic liver disease work up - Liver US - Prior liver biopsy Meds: - Outpatient meds (NSBB, diuretics, lactulose) - Any prior hepatotoxic meds (tylenol, anti-bx) - EtOH history (pattern and amount) Course: - Brief hospital course - Episodes of hypotension, shock, sepsis, GIB etc Gregory Brennan MD https://twitter.com/GregoryTBrennan #Liver #Consultation #GIConsult #Primer #Calling #Referral #Hepatology #Gastroenterology
