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Cirrhosis Definition and Decompensation
- Cirrhosis is the combination of fibrosis and regenerative nodules in the liver.
 - Decompensated cirrhosis occurs when 90% of liver function is lost, leading to complications like ascites and encephalopathy.
 
VIBES Framework for Cirrhosis
- Use the acronym VIBES (Volume, Infection, Bleeding, Encephalopathy, Screening) to remember cirrhosis complications.
 - Consider these complications in every end-stage liver disease patient.
 
Hepatic Encephalopathy Triggers
- Hepatic encephalopathy (HE) is usually triggered by other issues.
 - Look for triggers like infections, medications, and volume changes when a patient presents with HE.
 


