⚠ Clinical Decision Support Only. Terlipressin FDA-approved 2022 for HRS-AKI — monitor respiratory failure in ACLF Grade 3. TXA: CONTRAINDICATED in lower GI bleeding (ACG 2023). Laparoscopic lavage ABANDONED for Hinchey III-IV diverticulitis (LOLA/SCANDIV/LADIES). Appendicolith = operative management preferred (SAGES 2024 + CODA trial).