GI hepatic Flashcards
1
Q
Alc hep progostication
A
Maddrey’s discriminatory function (MDF)=4.6 x pt PT-nl PT plus total bilirumbin
2
Q
alc hep rx
A
combind NAC plus methyl pred, less evidence for pentoxifylline
3
Q
UGI re-bleed score AIMS65
A
Albumin INR, Mental stutus, SBP, Age>65
4
Q
Spont Bac Peritonitis SBP
A
WBC >250 WBC
Ascites albumin <1.0
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