endoscopy- these pts are at high risk of biliary ampullar cancer
when to give albumin for pts w/liver dz?
if pt comes in with SBP and also has AKI giving 1.5g/kg on day 1 and 1g/kg on day 3 reduces mortality by 20%
Pattern of LFT abnormalities in pts with PBC?
disprop higher elevations of bili/alk phos than transaminases
how often to do screening colonoscopies in UC pts?
every 1-2 years starting 8-10 years after dx
better drug to use in crohns, anti-TNF or 5-aminosalicylic acid agent like mesalamine?
best is anti-tnf b/c crohns is transmural, uc ok to treat w/latter
when not to give steroids in alc hep?
if SBP present, AKI or GIB
pts w/aortic stenosis could develop GIB due to ?
Heyde syndrome- bleeding angioectasias due to mechanical disruption of von willebrand multimers during non-laminar flow. disruption of VWF is directly related to severity of aortic stenosis so would benefit from valve replacement if recurrent prob
SAAG and total protein utility ?
if >1.1 then portal etiology. If >1.1 and total protein>2.5 then cardiac etiology
what is hepatopulmonary syndrome?
pts w/advanced liver disease develop hypoxia due to vasodilation of pulmonary vasculature in setting of portal hypertension. dx with TTE which shows microbubbles in LA w/in 3-6 cardiac cycles c/w shunt
Painless jaundice in the context of a diffusely enlarged pancreas with a narrowed pancreatic duct suggests?
autoimmune pancreatitis (tx with steroids)
elevated IgG4 suggests
autoimmune pancreatitis (Painless jaundice in the context of a diffusely enlarged pancreas with a narrowed pancreatic duct)