GI hepatic Flashcards

1
Q

Alc hep progostication

A

Maddrey’s discriminatory function (MDF)=4.6 x pt PT-nl PT plus total bilirumbin

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2
Q

alc hep rx

A

combind NAC plus methyl pred, less evidence for pentoxifylline

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3
Q

UGI re-bleed score AIMS65

A

Albumin INR, Mental stutus, SBP, Age>65

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4
Q

Spont Bac Peritonitis SBP

A

WBC >250 WBC

Ascites albumin <1.0

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5
Q

Heptaopulmonary syndrome

A

hypoxemia due to intrapulm dilatations and AV fistulae
Dx: delayed contrast opacification of the LV
platypnea, orthodeoxia, clubbing cyanosis
shunt with 100% O2
Rx: transplant
Portopulm HTN-does not cause shunting

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