Category Gastroenterology
CCC Critical Care compendium 340

Portal Hypertension

Portal Hypertension = increased resistance to flow through liver -> shunted around the other collateral vascular beds; the most common complication of cirrhotic liver disease
CCC Critical Care compendium 340

Acute Cholangitis

Acute or ascending cholangitis is a potentially life-threatening systemic infection resulting from inflammation and infection of the biliary tree due to bacterial growth in the bile, usually in the context of biliary obstruction
CCC Critical Care compendium 340

Clostridium difficile and PMC

Pseudomembranous colitis (PMC); acute inflammatory disease of colon commonly associated with antibiotic use; C. difficile implicated as a causative organism in 1970’s
CCC Critical Care compendium 340

Portopulmonary syndrome

Portopulmonary Syndrome is NOT considered contraindication to liver transplantation; affects ~20% of pre-transplant patients; usually due to increased blood flow through the lungs without increased resistance
CCC Critical Care compendium 340

Hepatopulmonary Syndrome

Hepatopulmonary Syndrome = hepatic dysfunction + intrapulmonary vasodilation -> gas exchange abnormalities; imbalance between intrapulmonary vasoconstriction and vasodilation at the pre- and post-capillary level
CCC Critical Care compendium 340

Gastric Residual Volume

Gastric residual volume is the amount aspirated from the stomach following administration of enteral feed. An aspirated amount of ≤ 500ml 6 hourly is safe and indicates that the GIT is functioning
Gastrointestinal-Gutwrencher-LITFL-340 2

Gut under pressure

A patient is day 1 post-laparotomy. his abdomen feels tight and his urine output has dropped off... Can you save the day in this gastrointestinal gutwrencher?
Gastrointestinal-Gutwrencher-LITFL-340 2

Snookered

You are assessing a 37 year old male in the emergency department. He appears to be in discomfort and states that he fell asleep at a party and thinks ‘someone put something up his back passage while he was out of it’.