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There is a role for prospective study in
#cirrhosis with lots of questions@rrosenblattmd But as it is practiced now, it likely leads to overuse of abx in our patients. And any retrospective study is confounded by indication -
Why are we checking procalcitonin levels? Sensitivity =
Specificity =
Change in management =
Every level in a patient with #cirrhosis =
What am I missing?
Meta-analysis: https://academic.oup.com/cid/article/70/3/538/5523199 …
ProACT trial:https://www.nejm.org/doi/pdf/10.1056/NEJMoa1802670?articleTools=true …pic.twitter.com/1nFJt8ta4Q
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Simplifying
#NASH ,#NAFLD with the mushroom analogy! The#NASH disease is not homogenous, it grows on a fertile ground which is#steatosis, may worsen, and induce#fibrosis which may extend to#cirrhosis@AASLDtweets@EASLedu@NASH_Education@Education_Nash@GlobalLiverpic.twitter.com/7lyOq1x9JA
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Interesting.~ 95% of the use I have seen is to start abx (or not). This meta-analysis is not the most reassuring (Figure). But I like the idea! it likely presumes you have two levels 2 compare? The median hepatic SOFA in the SAPS trial was 0, so prob not applicable to
#cirrhosis pic.twitter.com/sW1sbmm5vf
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Patients with
#NAFLD are asymptomatic until late in their illness even after progression to#cirrhosis. Most patients are rather diagnosed incidentally. https://www.relainstitute.com/hospitals-chennai/institute-liver-diseases-and-transplantation/non-alcoholic-fatty-liver-disease … +91 9384681770#bestliverdiseasetreatmenthospitalinchennai#bestlivertransplanthospitalinindia#RIMCpic.twitter.com/ggcIeYqAN9
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A new
@TheLancet study finds men are more likely to die from liver cirrhosis. Twice as many men as women are dying due to#liver cirrhosis. In 2017,#cirrhosis caused 1.3 million deaths globally. From these, two-thirds were men.
https://movendi.ngo/news/2020/02/05/study-men-more-likely-to-die-from-liver-cirrhosis/ …
#AlcoholHarms#EB146pic.twitter.com/myvborAu1J
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minimal difference in mortality between low and high volume centres in
#cirrhosis? that is surprising. -
Webinar on Preventing Hepatic
#Encephalopathy in Patients With#Cirrhosis - On Feb 5, 8 PM ET, join expert faculty for this CME-certified live event. Click here to join! https://hubs.ly/H0mTqJx0#nrha#Neuro#ILC2020#AASLD2019pic.twitter.com/YjauyyF10m
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The
@AmerGastroAssn has given the Young Investigator Award" to@JenLaiLiverDoc Dr. Lai is an inspiration who:
Founded the rigorous study of frailty in #cirrhosis
Mainstreamed frailty in solid-organ transplantation
#livertwitterpic.twitter.com/Zw4ng3RGor
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How Long Before an
#Alcoholic has Liver#Cirrhosis https://www.recreatelifecounseling.com/how-long-before-alcoholic-has-liver-cirrhosis/ … -
RT
@IHME_UW: According to a recent study in@LancetGastroHep,#cirrhosis accounted for 2.4% of total deaths globally in 2017 compared to just 1.9% in 1990. Read the study: http://bit.ly/2RjWulY pic.twitter.com/CgnBaKR8eE
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"ELF has ... been shown to not only accurately stratify fibrosis severity but also provide greater prognostic insight than liver biopsy." As always, we're keen to hear your thoughts on the article, and the ELF test.
#hepatology#liver#medtwitter#ELF#Cirrhosis#labmed#biomedPrikaži ovu nit -
What characterises
#cirrhosis-associated immune dysfunction? Here we report that the peritoneal#MAIT cell compartment is intact in#cirrhosis and the cells respond vigorously during#SBP@HEP_Journal@CIM_Sweden@karolinskainst https://bit.ly/2v28m3k pic.twitter.com/PkU28U4NOm
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Fuck man having chronic pain sucks. Can’t ever eat with out hurting. Plus having Gastroparesis makes things worse. Doesn’t digest my food like normal takes a lot longer. So many medical problems. Idk how I’m still alive
#chronicpain#NASH#cirrhosis -
Combine 2 or more non-invasive testing modalities-each from 1 of the main 3 groups of tests Consider
#HCC screening when both tests are concordant for advanced#fibrosis or#cirrhosis BUT, don’t forget to interpret these tests in the full clinical context Image-PMID: 30839326 pic.twitter.com/0P9W7QrDmq
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Despite antibiotic prophylaxis secondary SBP still occurs in hospitalized
#cirrhosis patients@EmoryCCC https://www.ncbi.nlm.nih.gov/pubmed/30694868 -
Should People With
#FattyLiver Disease Be Monitored for Liver#Cancer?
https://buff.ly/3b5bk7K
"People with #NAFLD or its more severe form,#NASH, who have developed#cirrhosis should be monitored regularly for#LiverCancer."#LiverDisease#LiverHealth#PublicHealth -
Are you a
@BOPPPtrial research site? Please invite all patients who are eligible for trial participation to an interview to share their views in taking part in research
#BOPPP#varices#NIHR#cirrhosis#liverresearch#portalhypertension#qualitativeresearch#whywedoresearchpic.twitter.com/K4bqatkPhF
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Everything u need to know about
, #cirrhosis and liver disease in general by Professor Poop himself, THE@JasmohanBajaj Open access: https://www.sciencedirect.com/science/article/pii/S0168827820300581 …#fmt#livertwitter@JHepatologypic.twitter.com/HdLpX7jMDC
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