View source for Ischemic hepatitis

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==Background==

[[File:Liver vascular anatomy.png|thumb|Liver vascular anatomy.]]
[[File:Biliary system multilingual.png|thumb|Bile duct and pancreas anatomy. 1. Bile ducts: 2. Intrahepatic bile ducts; 3. Left and right hepatic ducts; 4. Common hepatic duct; 5. Cystic duct; 6. Common bile duct; 7. Sphincter of Oddi; 8. Major duodenal papilla; 9. Gallbladder; 10-11. Right and left lobes of liver; 12. Spleen; 13. Esophagus; 14. Stomach; 15. Pancreas: 16. Accessory pancreatic duct; 17. Pancreatic duct; 18. Small intestine; 19. Duodenum; 20. Jejunum; 21-22: Right and left kidneys.]]
*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 [[Special:MyLanguage/shock|shock]]


==Clinical Features==

*Critically ill patient, may not be able to report symptoms
*Findings can include:
**[[Special:MyLanguage/Weakness|Weakness]], malaise
**[[Special:MyLanguage/RUQ pain|Abdominal discomfort]]
**[[Special:MyLanguage/Jaundice|Jaundice]]
**[[Special:MyLanguage/hepatic encephalopathy|Encephalopathy]]
**[[Special:MyLanguage/Liver disease induced coagulopathy|Coagulopathy]]


==Differential Diagnosis==

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{{Acute hepatitis causes}}
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==Evaluation==

*[[Special:MyLanguage/LFTs|LFTs]]
**AST, ALT > 1000s
**Elevated bilirubin
**Elevated alk phosphatase
*INR
**[[Special:MyLanguage/liver disease induced coagulopathy|Coagulopathy]]
*Consider acetaminophen level
*Acute [[Special:MyLanguage/viral hepatitis|hepatitis panel]]


==Management==

*Treat underlying [[Special:MyLanguage/shock|shock]]


==Disposition==

*Admit


==See Also==


==External Links==


==References==

<references/>

[[Category:GI]] [[Category:Critical Care]]
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