Complications of Liver Cirrhosis. Ayman Abdo MD, AmBIM, FRCPC. Objectives. Understand the basic mechanisms of portal hypertension Recognized the classic presentations of portal hypertension complications Get an idea on the management of these complications. What is Liver Cirrhosis?.
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MD, AmBIM, FRCPC
TIPS (Transjugular intrahepatic portosystemic shunt)
Definition: fluid in the peritonial cavity
WBC (>250 PMN: SBP)
SAAG (serum albumin to ascitic fluid albumin gradient)
>11 mg/dl : portal hypertension
<11 mg/dl : Other
or kidney disease
or heart failure
Loop diuretic (Lasix)
Aldosterone inhibitor (Spironolactone)
Collateral formation (Varices)
3. The most important step in variceal bleed management is resuscitation
4. The most important step in management of hepatic encephalopathy is the identification of the precipitating factor