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  1. 2. velj

    New meta-analysis shows that hemodynamic response to beta-blockers in patients with cirrhosis + varices decrease the risk of: 🩸Bleeding 🌊Ascites 💤Encephalophaty 🦠Peritonitis ☠️Death ✅Both in patients with and without previous ascites

  2. 4. velj

    Can you remember all the liver segments? I just have this microfiber cloth for my eyeglasses 🤓 handy! Feel free to save the image.

  3. prije 5 sati

    Coding with is fun. Here is a small code I did on my iPhone to save me using multiple calculators for FIB-4, BMI, APRI and NAFLD Fibrosis score. I do it all at once in 1 minute with this.

  4. 1. velj

    1/ Let's differentiate pyogenic from amebic liver abscess in a today. We will examine DDx, risk factors, microbiology, clinical features, diagnostics, and treatment. This came from my most recent morning report.

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  5. prije 3 sata

    In adjusted and matched analysis accounting for potential confounders, no significant difference found in the incidence of between ETV vs TDF in patients

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  6. 4. velj

    Question to - Young pt w/biopsy proven cirrhosis 2/2 NASH (MELD Na 14, platelet & albumin normal, CTP A) & end stage cardiomyopathy awaiting ❤️ only transplant. Would you talk to this patient about HCV+ heart donors? Does the pts cirrhosis affect your decision?

  7. prije 3 sata
    Odgovor korisnicima i sljedećem broju korisnika:

    One important take away Although change in CO predicted HRS, it was not a strong predictor of transplant free survival

  8. prije 3 sata
    Odgovor korisnicima i sljedećem broju korisnika:

    If and when we can categorize patients to high risk for HRS and responders vs non responders, then might be able to narrow it down enough to justify a disease modifying agent like albumin

  9. prije 4 sata
    Odgovor korisnicima i sljedećem broju korisnika:

    Also note that delta CO <25% had a specificity of 61% to predict HRS

  10. prije 4 sata
    Odgovor korisnicima i sljedećem broju korisnika:

    Basically, you already know this pathophysiology and DSE parameters seems to not add a whole lot to the picture

  11. prije 4 sata
    Odgovor korisnicima i sljedećem broju korisnika:

    That’s the point I think the HD studies would identify the sickest patients who are already getting priority based on MELDna Not sure what additional data this would add to identify patients at risk for Hrs

  12. prije 4 sata
    Odgovor korisnicima i sljedećem broju korisnika:

    Interestingly, HRS predicted transplant free survival but not cardiac reserve

  13. That concludes my first Learning points: ✅ PEC is a thing (❗️) ✅ More common if fcSEMS placement occluded cystic duct ✅ MDT approach: Surgery/cholecystostomy/EUS-guided drainage/stent exchange all potentially good approaches. Depends on the patient.

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  14. prije 12 sati

    This is what I signed up for when I joined Twitter. Great discussion 👇🏼 by

  15. prije 12 sati
    Odgovor korisnicima

    Congratulations on this important contribution , Stephen Harrison and many others! Now I can stop hitting refresh waiting for the full paper. Fantastic resource for pts with

  16. prije 23 sata
    Odgovor korisniku/ci

    I’m not an expert (yet), but I think that has the answer for 😉

  17. 4. velj
  18. 2. velj

    Who performs HVPG (hepatic venous pressure gradient) procedure in your patients with cirrhosis at your institution?

  19. 2. velj

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