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8 Cards in this Set
- Front
- Back
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Clinical Presentation
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Anorexia
Hepatomegaly Nausea Weakness Weight loss |
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Levels of Damage
Reversible - Irreversible - |
Steatosis - alcohol
Necrosis --------------- Cirrhosis Hepatic Failure |
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Prophylaxis of Variceal Bleeding
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Nonselective Beta-Blockers
Endoscopic band ligation -if unable to take beta blockers |
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Treatment of Acute Variceal Hemorrhage
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Fluid resuscitation
Control bleeding, prevent rebleeding Preserve liver function Somatostatin Octreotide Vasopressin- not first line Antibiotic -3rd gen Cephalosporin |
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Treatment of 2ndary Prevention of Acute Variceal Hemorrhage
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Nonselective beta blocker
Nitrates + Beta blocker Sclerotherapy Band ligation Shunting |
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Treatment Acites
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Abstain from Alcohol
Na restriction <2000 mg/day Spironolactone Furosemide Paracentesis TIPS - diverts blood away |
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Treatment Spontaneous Bacterial Peritonitis
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DOC: 3rd Gen Cephalosporin
FQ 5 or 10 day Prevention: Norfloxacin, Ciprofloxacin, TMP/SMX DS |
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Hepatic Encephalopathy Treatment
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Limit Protein 1.2 g/kg/day
Lactulose (Gold Standard) - 30-45 mL TID, titrate to 2-3 soft stools per day Antibiotics -Neomycin -Metronidazole -Rifaximin Flumazenil |
