Session Type
Meeting
Search Results for Cirrhosis
Abstract Number: 267
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Background: Patients with refractory ascites often require large volume paracentesis (LVP) on a frequent basis. Most of the studies examining the clinical effects of LVPs, however, have looked only at one-time procedures. In addition, patients with ascites commonly present to the emergency department or require hospital admission for this procedure, leading to high health-care utilization. Our […]
Abstract Number: 315
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Background: Cirrhosis is the permanent fibrosis of the liver and carries a prevalence of 600,000 cases per year. Hospitalizations due to cirrhosis have doubled from 2001 to 2011 with an average hospitalization cost of $15,000. Hospital readmissions for cirrhosis are frequent and have been noted to be up to 3 readmissions per year. Given the […]
Abstract Number: 331
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Rifaximin, a nonsystemic antibiotic, may be used alone or in combination with lactulose for reducing the risk of overt hepatic encephalopathy (OHE) recurrence in adults. This analysis evaluated rifaximin alone and rifaximin + lactulose (combination) on health-related quality of life (QOL) and caregiver burden in patients with a history of OHE. Methods: In a […]
Abstract Number: 359
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: Hepatic encephalopathy (HE) is a common neurological complication in patients with cirrhosis. In addition to numerous morbidity-related issues, HE is associated with substantial economic burden. Treatment includes lactulose or rifaximin, a nonsystemic antibiotic that is indicated for reducing the risk of overt HE recurrence in adults. Rifaximin has also been shown to reduce the […]
Abstract Number: 361
Hospital Medicine 2018; April 8-11; Orlando, Fla.
Background: The number of hospitalizations related to a primary diagnosis of cirrhosis has been declining since the mid-2000’s. However, the temporal trend of number of hospitalizations and inpatient mortality associated with secondary conditions of cirrhosis remains uncertain. Therefore, we conducted a nationwide population data analysis to show the temporal correlation of hospitalizations and mortality associated […]
Abstract Number: 395
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Background: Rifaximin 550 mg tablets is a nonsystemic antibiotic indicated for reducing the risk of overt hepatic encephalopathy (HE) recurrence in adults and may be used in combination with lactulose. Practice guidelines state that rifaximin is effective as add-on therapy to lactulose for preventing overt HE recurrence. This pooled analysis evaluated the efficacy and safety […]
Abstract Number: 506
SHM Converge 2021
Case Presentation: A 47 year old white male with alcoholism and cirrhosis was admitted to the ICU after being found altered in his bedroom in a pool of blood draining from his nose. A rhino rocket was inserted into the patient’s right nostril to stop the bleed and labs and imaging were obtained. Labs revealed […]
Abstract Number: 507
SHM Converge 2023
Case Presentation: A 67-year-old female with a history of decompensated NASH-cirrhosis with portal hypertensive enteropathy (MELD-Na: 24) and associated iron deficiency anemia (IDA) presents for an incidental hemoglobin of 5.8 g/dL. She had symptoms of fatigue but was otherwise asymptomatic with no melena or hematochezia. Vital signs were within normal limits. The physical exam was […]
Abstract Number: 518
SHM Converge 2023
Case Presentation: A 73 year-old man presented with 2 weeks of difficulty completing multi-step tasks, e.g., getting into a car. At baseline, he was independent in instrumental activities of daily living. He had no other symptoms; he denied headache, weakness, numbness, vision changes, confusion, fevers, chills or weight loss. His history included non-alcoholic steatohepatitis with […]
Abstract Number: 541
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 69-year-old female with no prior past medical history who presented to the ED with complaints of shortness of breath. Chest-x-ray was found to be positive for right sided pleural effusion. A thoracentesis was performed and pleural fluid found to be exudative per Light’s criteria. Fluid cytology and cell count were within normal […]