7/21 Morning Report w/ Lenie and Dr. Robbins: AMS in a newly diagnosed cirrhotic

A middle aged man w/ HCV and excessive etoh use presents with altered mental status, found to have liver failure of unclear chronicity. Already growing GNRs in blood!
*The evidence behind pharmacologic treatments for alcoholic hepatitis is shotty; a 2015 NEJM paper showed that prednisone showed trends of decreased mortality at 28 days that did not reach significance. Prednisone should not be given in the setting of suspected infection. Pentoxifylline does not improve survival. http://www.nejm.org/doi/10.1056/NEJMoa1412278

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s