The Acute Complications of Cirrhosis - An Overview

An overview of how spontaneous bacterial peritonitis, hepatic encephalopathy, esophageal varices, and the hepatorenal syndrome share common pathophysiology, and how they can trigger one another.

[pauljohnston]

As an emerg nurse, this is a great video! Not only as a refresher, but it also offers a fantastic review/learning objective for new and seasoned healthcare providers. Thanks, and I look forward to the next video.

[shahad]

It’s really unfair that your videos and efforts are underestimated I can’t tell you how much they’re helpful to me thank you very very very much ❤️❤️❤️❤️❤️

[rumit]

This was a wonderful series, I feel much more confident seeing patients with cirrhosis after watching these videos. Thank you Dr. Strong

[nystagmus]

I always found it interesting that liver failure was a syndrome with similar theme:

Thrombocytopenia from portal hypertension and splenic sequestration would increase the chances of severe bleed.

Portal hypertension would cause a esophageal varices and hemorrhoids which would also increase the risk of bleed.

The liver failure itself also would cause coagulopathy and increase bleed.

Hepatic encephalopathy from NH4 can cause altered mental status and potential fall —> Increased risk of bleeding.

Nh4 ammonium can affect platelet function increase risk of bleeding

It’s like a perfect storm.

[souad_joubbane]

thank you so much! I've watched all the videos in this series and they helped me immensely to wrap my head around all these concepts. please take care of yourself <3

[Yeon]

I did my blood test yesterday after 5 weeks of 100% no carbohydrates no sugar no fruits no starch no red meat diet. My Liver panel test result shown AST, ALT, GGT level all perfect! Far from its top range. Just 5 weeks. My fatty liver is reversed to healthy normal. I lost 4-5kg just from dieting and stop eating after 7pm till next day lunch. 2 meals a day. Only boiled using water, steam Fish, tofu, cabbage broccoli veggies, chicken breast, black coffee no sugar for afternoon lunch and green tea no sugar during evening dinner not later than 7pm. After 7pm I fast till next day lunch 12pm. The fasting time is extremely important as this time allows digestion and some hunger which makes our body burn the fat within without exercising. Exercising barely able to reach the fat around our liver. So fasting is the effective way. I had No milk (contain high fat and high sugar) . No snacks. No all kind of bread which still are carbohydrates. No cake. No biscuits. No rice. No noodles. No fruits especially as it’s fructose are directly process only by our liver! Just 5 weeks and fatty liver is back to normal with proven liver function blood test compared to my previous test result 5 weeks ago. I feel very lively light and positive. I lost 5kg. Also My cholesterol and sugar level were also extremely good blood test result! I m looking way younger and my body is nicer too. I m 33 years old male. Non smoker non alcoholic. Didn’t work in a toxic environment. I didn’t exercise. But I ate much rice, fatty red meat, and milk and cookies and fruits. I slept late before. Now I kicked those bad habit n bad diet. After recovered from fatty liver, I continue my way of eating n fasting n sleeping time. I reintroduced some healthy carbohydrates back into my diet. Such as some corn carrot, some wheat bread, a little potatoes. Please make sure u do not overdo it. I really mean only some. Lack of discipline and taking it for granted will cause regrets. I’m sharing for mankind and for those who were helpless from useless doctors. And I’m sharing in memory of my late father who passed away due to end stage liver disease.

[nabilwhitebird]

Thank you dr. Strong, ur lessons are so helpful, greetings from Algeria

[abdulazeez.]

Great video as always!
Nice to see how they all fit together.

[josephgibbons]

My closest friend died from a massive brain bleed caused by his liver failure. Sad.

[sunving]

Thank you Dr Strong, your lecture is gold, I happened to revisit these lecture !

[ashutoshjaiswal]

Thanks for another informative video.... Please post some video on approach to pituitary and adrenal disorders...

[hansyu]

Another inane question from me: Why do we administer IV vitamin K for coagulopathy secondary to hepatic synthetic dysfunction? Unless they are malnourished (eg in alcoholism) or being treated with a vitamin K antagonist, I would not have thought that vitamin K would help with coagulopathy since it’s your machinery that’s broken and therefore I’m not sure adding more ingredients to it would generate more products. Interested to hear people’s thoughts on this

[vixyvelasquez]

Is sepsis the same as blood infection ? And how serious is it ?

[lozza]

Any opinions on a patient who had colon cancer, right side removed (no cancer in lymph’s). Only 4 weeks tablet chemo.
3 yrs later diagnosed with liver cirrhosis. No symptoms, all blood-work in perfect range. Doctor blaming it on chemo 🙄 Patient a little over weight.
Opinions?

[sunving]

Thanks Dr Strong, oh suddenly I want to watch what is hospitalist ? :).

[issubr]

My mother died due to sepsis shock after liver cirrhosis