Guidelines are unanimous;
For look risk procedures like paracentesis we need not check INR and should not give FFP
Liver, gastroenterology, hematology, and interventional radiology societies agree
So why the variation in managing “the cirrhotic coagulopathy”?
🧵
Paradigm shifts in 🤔 about portal hypertension by @ggarciatsao
🔸Prevent decompensation (NSBB in patients with CPTH)
🔸 LSM and Plt 🚫 EGD for 👀varices
🔸NSBB can be used in ascites if MAP>65, SBP>90
🔸After TIPs: NSBB if HVPG is >12
#TLM23 @AASLDtweets
✨OPEN HOUSE ALERT✨
Join us Tuesday, August 29th to learn more about Mayo Clinic Internal Medicine Residency in Rochester, MN! Details below.
We can’t wait to connect with you & share why we❤️our program!
@CaThompsonMD@BenStultz@AleTomasiMD@IMChrisKerryMD