GI

Question 1

MELD score

Answer 1

initially created to tell outcomes after TIPS, then developed into scoring for liver failure

Question 2

factors in MELD-NA

Answer 2

INR, bilirubin, Cr, Na due to increase in mortality shown with lower sodium levels

Question 3

where can pancreatic pseudocyst extend into?

Answer 3

liver, pelvis, spleen, mediastinum, pleura

- they get into the mediastinum or pleura via the esophageal hiatus

Question 4

preferred method to determine if a pseudocyst is amenable to enteroenteric drainage?

Answer 4

MRCP

Question 5

pleural effusion likely 2/.2 panc pseudocyst has elevated what? borehave pleural effusion haas elevated what?

Answer 5

• pancreatic isoamylase

- salivary isoamylase

Question 6

absolute CI to RHC?

Answer 6

mechanical tricuspid, RVAD

Question 7

Maddrey discriminant function?

Answer 7

predicts 30 day mortality in acute hepatitis

Question 8

MELD- UNOS score and meaning?

Answer 8

organ allocation and AH>20 defines estimated mortality of 20%

Question 9

what steroids to use in acute hepatitis?

Answer 9

prednisolone 40 mg daily, or methylprednisone 32 mg

Question 10

2 things that reduce mortality in acute variceal hemorrhage?

Answer 10

• banding followed by TIPS

- antibiotics