Is it time to rewrite IDA guidelines? 🩸
Current guidelines recommend 1st line OGD and colonoscopy. In our prospective multicentre study, small-bowel capsule endoscopy found potential bleeding lesions in 50% — higher than bi-directional endosocopy!
📄 https://t.co/RFj0pHjNKp
Check out our latest article on 🔥"Tuberculosis in Cirrhosis: A Diagnostic and Therapeutic Challenge" 🔥
🔷Tuberculosis👉🏼distinct diagnostic challenge in cirrhosis due to atypical clinical and radiological findings
🔷Cytology or tissue biopsy 👉🏼gold standard for definitive confirmation
🔷Treatment strategies must be individualized as per CTP or MELD scores with careful balancing between effective TB control and risk of drug-induced hepatotoxicity.
Full article at https://t.co/5lS03IyZQ1
Deepest gratitude to @drsuniltaneja for supervision and invaluable guidance
#LFNpearls by Sameena Tabassum
🫁 TB treatment started
📈 Liver enzymes ⬆️
🤔 DILI, TB-related liver disease, or something else?
🔹 Identify the pattern and severity of liver injury
🔹 Know when to hold anti-TB medications
🔹 Monitor closely for worsening liver dysfunction
Efficacy and Safety of Carvedilol in Cirrhosis Patients With New-Onset Uncomplicated Ascites Without High-Risk Esophageal Varices (CARVE-AS Trial)
Khajuria & Jindal, et al.
📕 https://t.co/EXEoEJn3J6