Please enable JavaScript.

Coggle requires JavaScript to display documents.

Liver Cirrhosis, HBeAg *hepatitis b e antigen - Coggle Diagram

- - - - causing dizziness, fall and driving impairment
    - - oral/rectal lactulose
      - prevent recurrent
        
        rifaximin
  - - - unfractioned heparin
  - - - Enterobacteriaceae
      - Streptococcus/Enterococcus
    - - fluoroquinolones
        
        norfloxacin
        
        ciprofloxacin
      - multidrug resistant
        
        3rd gen cepha
        
        cefotaxime
        
        piperacillin - tazobactam, carbepenam + - vancomycin
      - prophylaxis
        
        sulfamethoxazole - trimethoprim
  - - - vasoactives
        
        vasopressin
        
        octreotide
        
        reduce BP, vasodilation
        
        tX for 2 - 5 days
      - blood transfusion
        
        manage anemia
      - transjugular intrahepatic portal - systemic shunts
  - - - decrease oncotic pressure
    - - furosemide + spironolactone (4:10)
    - - tX
        
        discontinue BB
        
        .+ midodrine for orthostatic Hypotension
  - - - can lead to esophageal varices, hepatocellular carcinoma
    - - non selective BB
        
        propanolol
        
        carvedilol
        
        reduce CO, decrease intrahepatic vascular resistance
      - endoscopic band ligation
        
        reduce bleeding
  - - - drug induced: NSAIDs/nephrotoxic drugs
      - excess diarrhea due to lactulose
- - - - HBeAG +ve/-ve
        
        Entecavir/Tenocavir (1 year)
        
        IFN-alpha/PEG-IFN-alpha (16/48 weeks)
      - resistant
        
        Lamivudine/telbivudine + adefovir/tenofovir
    - - Sofosbuvir x12 weeks
    - - preexposure prophylaxis
        
        vaccines
        
        Havrix
        
        Vaqta
      - postexposure prophylaxis
        
        immunoglobulin x2 weeks
        
        vaccine for age of 12 months - 40 y/o
  - - - PCM/Isoniazid/Iproniazid/Halothane/nitrofurantoin
    - - Tetracycline
    - - Chlorpromazine
    - - Coralgil
    - - rifampicin/novobiocin
- - - - wilson disease
    - - alcohol related
      - fatty liver
      - Hepatitis B/C