Elliot Tapper 8 months ago
A cascade of unnecessary tests - and their harms
Patient with ALL and stem cell txp
has varices
But HVPG was ⬇️
So had EUS-PPG with ⬆️ HVPG but caused portal thrombosis
Eventually starts carvedilol
Rewind
1. Classic story for NRH
2. Found varices, pressures not needed
3. Just start coreg
#liversky