Ischemic hepatitis

Background

Also known as shock liver
Condition where the liver is injured acutely due to lack of blood flow for any number of reasons.
- Occurs frequently secondary to shock

Clinical Features

Critically ill patient, may not be able to report symptoms
Findings can include:
- Weakness, malaise
- Abdominal discomfort
- Jaundice
- Encephalopathy
- Coagulopathy

Differential Diagnosis

Acute hepatitis

Evaluation

LFTs
- AST, ALT > 1000s
- Elevated bilirubin
- Elevated alk phosphatase
INR
- Coagulopathy
Consider acetaminophen level
Acute hepatitis panel

Management

Treat underlying shock

Disposition

Admit

See Also

External Links

References

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