What is the literature regarding the use of intravenous albumin in the treatment of spontaneous bacterial peritonitis? What relevant guidelines apply to the use of intravenous albumin in the treatment of SBP in the emergency department? Find out in this R.E.B.E.L. EM Post.
R.E.B.E.L. EM – Should You Give Albumin in Spontaneous Bacterial Peritonitis (SBP)? Read More »
A 52-year-old male with a history of severe liver disease, cirrhosis, and hepatitis C presents with altered mental status. His vital signs are normal, and he displays asterixis on exam, with otherwise normal neurologic exam. His ECG, head CT, and labs are normal. What should you consider, and what are your next steps?
EM@3AM: Hepatic Encephalopathy Read More »
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.
Chronic Liver Disease and Hemostasis Read More »