Monthly Archives: March 2011

The Sunday Chronicles

Janice says, “PASS THOSE BOARDS!” Advertisements

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Liver transplantation criteria

Question: You are asked to see a 68 year old male with end stage liver disease for transplant evaluation.  He has several comorbidities including diabetes mellitus type 2, chronic renal failure and a recently diagnosed multiple myeloma. Which of his … Continue reading

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Radiology: TIPS

A 41 male with HCV and Child B cirrhosis is in the ICU with hematemesis.  He presented one day prior with the same sign.  An EGD at that time revealed bleeding esophageal varices.  Band ligation was performed; octreotide drip was started, … Continue reading

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Hyperdynamic circulation

Question: As a curious student, with great technical skills, you decide to sample the blood of one of your patients.  He is a 68 year old man with metabolic syndrome.  Platelet count is 110, albumin is 3.2, INR is 1.6 … Continue reading

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Mechanics of decompensation

Question: All of the following decompensating events in the natural history of cirrhosis are closely associated with increased sinusoidal pressure and portal hypertension except: A. variceal bleeding B. ascites C. hepatic encephalopathy D. jaundice Answer: Recall Ohm’s law: Pressure = Flow x … Continue reading

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Physical exam

Question: A 58 year old alcoholic male is supine on the examination table.  His abdomen is somewhat obese, and is without stigmata of portal hypertension.  A firm liver edge is palpated three cm below the right costal margin, and there is no … Continue reading

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The Sunday Chronicles

SORRY TO HEAR ABOUT YOUR STEATOSIS Hugs and kisses, Judy

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