Acute Hepatitis in ED Setting: Etiologies, Evaluation, and Management
This post by Dr. Anna Waller evaluates the ED assessment and management of acute hepatitis.
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liver
EM Cases: Liver Emergencies
We clear up the confusing balance between thrombosis and bleeding in liver patients, the elusive diagnosis of portal vein thrombosis, spontaneous bacterial peritonitis diagnosis and treatment and some tips and tricks on paracentesis
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Hepatic Abscess: Pearls for Emergency Medicine Clinicians
This post discusses pearls and pitfalls in the evaluation and management of hepatic abscess.
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EM@3AM: Jaundice in Adults
A 53-year-old male presents with nausea/vomiting and complains of turning “yellow”. He denies abdominal pain, fever, alcohol use, or acetaminophen intake. His vital signs are normal, and exam reveals icteric sclerae, jaundice of his face and chest, and hepatomegaly. He has no tenderness to abdominal palpation. What’s going on, and what’s your next step in evaluation and treatment?
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Unlocking Common ED Procedures – Pocket Full of Sunshine: Paracentesis in the ED
How do you perform a diagnostic and/or therapeutic paracentesis? When is it needed? Anthony DeVivo brings you pearls and pitfalls in his next post in the series, Unlocking Common ED Procedures.
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The patient with bilateral leg edema: what tests are warranted?
Leg edema has a wide differential, but what tests are necessary in the ED? This post seeks answers to this question and more.
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Chronic Liver Disease and Hemostasis
Patients with chronic liver disease typically have elevated INRs and thromocytopenia. Thus, clinicians may believe that blood clots are not possible in this patient group. This is a brief review of hemostasis in liver disease and why blood clots can occur even with low platelet counts and elevated INRs.
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Elevated Liver Enzymes: ED-focused Management Pearls & Pitfalls
Cholestatic, hepatic integrity, liver function mass? Liver function tests can provide a great deal of information, if you know how to properly use them. This post delves into the pathophysiology, etiology, and management of elevated LFTs.
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