
Hypothermia and varices
Variceal bleeds can lead to terrifyingly messy resuscitations; this talk reviews tricks and tips for rescuing your patient from massive GI bleeding disasters.
Variceal bleeds can lead to terrifyingly messy resuscitations; this talk reviews tricks and tips for rescuing your patient from massive GI bleeding disasters.
Thomas Fitz-Hugh, Jr (1894 – 1963) was an American Surgeon eponymously affiliated with Fitz-Hugh Curtis syndrome (1930, 1934)
Ismar Isidor Boas (1858 - 1938) was a German gastroenterologist. Boas sign and Boas point (1894) Boas algesimeter (1891)
Johannes Laurentius Augustinus Peutz (1886 - 1957) was a Dutch physician. Peutz-Jeghers syndrome (1921)
Jens Einar Meulengracht (1887 - 1976) was a Danish physician. Meulengracht ikterus index; Meulengracht diet; Gilbert syndrome
Portal vein thrombosis: thrombus formation in the portal vein +/- tributaries (superior mesenteric vein, IMV and splenic vein)
Spontaneous Bacterial Peritonitis: often occurs in patients with severe hepatic dysfunction -> should lead to transplantation consideration if appropriate
Portal Hypertension = increased resistance to flow through liver -> shunted around the other collateral vascular beds; the most common complication of cirrhotic liver disease
Hepatic veno-occlusive disease aka sinusoidal obstruction syndrome (SOS) important complication of stem cell transplantation (SCT) mortality >30%
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
Gastrointestinal Literature Summaries
Coagulopathy in Liver Dysfunction; defined as INR >1.5 due to liver dysfunction; patients are not 'auto-anticoagulated' - they are often in a procoagulant state!