dotphrase.org
    • Home
    • About
    • FAQs
      • FAQs
      • Best Practices
    Add a dotphrase
    Sign in or Register
    Add a dotphrase

    Acute Liver Failure

    • Rate/comment
    • Bookmark
    • Dotphrase
    • Reviews 0
    • Discussion
    • prev
    • next
    • Rate/comment
    • Bookmark
    • Share
    • Volunteer to maintain page
    • Report
    • Edit dotphrase
    • prev
    • next
    Assessment & Plan (short)

    # Acute Liver Failure
    Patient without history of liver dysfunction who presents with INR >1.5 and encephalopathy concerning for ALF. Should this be ALF, etiologies include viral, tox, autoimmune, vascular, shock, and iatrogenic med effect. Will proceed with broad diagnostics and evaluation for altered mental status. If this is not acute liver failure, may be acute liver injury from similar reasons listed above, with INR elevation from poor nutrition, DIC, MAHAs, or anticoagulation.
    Dx
    - RUQ with Doppler
    - APAP level, arterial ammonia
    - Hepatitis A IgM, anti-HBC IgM, anti-HCV IgG, HCV RNA,
    - HBsAg, HBsAb, HBcAb, HBV DNA,
    - ANA, ASMA, IgG, ceruloplasmin, and Utox
    - INR, LFTs BID
    - Q2hr POC Glucose
    Tx
    - Appreciate Liver Transplant Unit assistance
    - NAC
    - Elevate Head of bed
    - 2g APAP limit

    Organ systems
    • Gastrointestinal
    Medical field
    • Internal medicine
    Setting
    • Inpatient
    Author
    Eric Lee
    Page info

    Originally created: March 3, 2020 by Eric Lee

    [xyz-ips snippet="lastupdated"] [xyz-ips snippet="sectioneditor"] [post-views]

    Number of revisions: [xyz-ips snippet="numrevisions"]

    References
    [xyz-ips snippet="easyfootnote"]
  • No comments yet.
  • Add a review

    Leave a Reply · Cancel reply

    Your email address will not be published. Required fields are marked *

    Overall Rating

    Evidence base

    Usefulness

    Forum

    Work in progress, do not use

    [bbp-single-forum id=5150]

    Cart

      • Facebook
      • Twitter
      • WhatsApp
      • Telegram
      • LinkedIn
      • Tumblr
      • VKontakte
      • Mail
      • Copy link