OnlineMedEd: Intern Content - "Cirrhosis III" Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

Acute decompensation in cirrhosis is likely one of three things: ______________.

A

fluid imbalance (third spacing), infection, and GI bleed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What should you order in managing and diagnosing a decompensated cirrhotic?

A
  • Fluid imbalance: albumin
  • Infectious workup: broad-spectrum antibiotics, culture of urine/blood/ascites
  • Bleeding: CBC, DRE
  • Meds: rifaximin, lactulose, zinc
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

You can be transplanted at a MELD of __________.

A

15 or greater (though generally it doesn’t happen until ~32 in most cases)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

MELD is calculated with _____________.

A

total bilirubin, INR, and creatinine (TIC)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Hepatorenal syndrome is basically diagnosed by _____________.

A

elevated creatinine in a person with cirrhosis (AKI in a cirrhotic) that does not respond to fluid, has a negative UA and US, and is not due to infection or bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What creatinine parameters are used to diagnose HRS?

A

Doubling in 2 weeks (2x2)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

These two medicines are given in those with HRS: ______________.

A

octreotide and midodrine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which type of HRS is worse?

A

Type 1

Type 2 is more insidious and has a better prognosis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly