Symptoms and Clinical Presentation of Liver Disease and Portal HTN
Back to Basics: Decoding Hepatic Encephalopathy
Learning objectives In this Back to Basics series, the learner will be able to : Explain the role of ammonia in physiological changes in hepatic encephalopathy (HE) Formulate a diagnostic approach for...
Lactulose Improves Sleep and Activity Impairment in Patients with Poor Patient-reported Outcomes
What can I do for my patient with cirrhosis who is not encephalopathic but just isn't doing well at their workplace?
Why shouldn’t ammonia be used in the diagnosis and management of hepatic encephalopathy?
Hepatic encephalopathy (HE) is one of the major reasons patients with cirrhosis are admitted to the hospital. Often before they have been seen by the gastroenterology or hepatology team, a serum...
Effects of Early Placement of Transjugular Portosystemic Shunts in Patients With High-Risk Acute Variceal Bleeding: a Meta-analysis of Individual Patient Data
Who can we help with a TIPS soon after they come in with a variceal bleed?
Why is it important to think about non-cirrhotic portal hypertension?
Why is it important to think about non-cirrhotic portal hypertension? Let’s start with a case! A 25 yo with history of Common Variable Immunodeficiency (CVID) on monthly IVIG presents to the emergency...
Carvedilol Achieves Higher Hemodynamic Response and Lower Rebleeding than Propranolol for Secondary Prophylaxis
The battle of the beta-blockers: is propranolol or carvedilol more effective after variceal bleed?
Just Another Case of Hepatic Encephalopathy?
A 61 year old male with a history of recently diagnosed autoimmune hepatitis presents with fatigue and generalized weakness for 1.5 weeks. He denies fevers, chills, abdominal pain or swelling, and...
Should esophageal stents be used to control refractory variceal bleeding?
What can you do when banding just isn't sufficient to control a variceal bleed?
Decompensated Dyspneic Dilemma
A 49-year-old man presents to clinic for evaluation and treatment of hepatitis C infection.
Why don't we use chest tubes for refractory hepatic hydrothorax?
Should we do a thoracentesis or place a chest tube?