Pathophys
Chronic hepatic injury may lead to this irreversible type of fibrosis characterized by distorted hepatic architecture and nodules.
Cirrhosis
This non-invasive and inexpensive imaging modality can aid in the diagnosis of cirrhosis.
Ultrasound
Each person diagnosed with cirrhosis should undergo this study to establish the presence of varices.
upper endoscopy
Ensure lasting immunity to these two viruses in everyone with cirrhosis by drawing titers
HAV, HBV
Chronic hepatocellular injury will eventually lead to this disorder of the portal vein.
What is portal hypertension?
This risk calculator can be used to estimate the extent of fibrosis using age, ALT, AST, and platelet count.
FIB-4
treating the underlying cause!!
People with cirrhosis are at a 3-5% yearly risk of hepatocellular carcinoma, and the screening consists of this.
Abdominal US Q 6 months
This is a common cause of cirrhosis in the United States.
What is: chronic viral hepatitis C; alcohol-associated liver disease; or NAFLD.
The immediate next step after identifying a patient with cirrhosis is to determine this.
Etiology
This is the mainstay of treatment for people with alcohol-associated cirrhosis. (And a recommendation for everyone who has cirrhosis)
Complete abstinence from alcohol
This calculator is used to estimate survival prognosis in the setting of cirrhosis.
MELD (or Child-Pugh)
These are three possible complications that may occur in ppl living with decompensated cirrhosis.
variceal hemorrhage, ascites, spontaneous bacterial peritonitis, hepatocellular carcinoma, hepatorenal syndrome, or hepatopulmonary syndrome
These are two signs/symptoms associated with worsening decompensated cirrhosis.
jaundice; ascites; lower extremity edema; pruritus; asterixis; coca-cola urine; blood in emesis or stools;muscle cramps; confusion
This is recommended as the principal intervention in a treatment plan for NAFLD/NASH
Gradual weight reduction
This intervention may be considered for primary prophylaxis in those high risk for variceal bleeding.
Nonselective beta-blockers (beta blockade);endoscopic band ligation
This is how a provider may describe cirrhosis pathology to a patient or family member in plain, nontechnical language.
good work! :)
These are three lab abnormalities commonly seen in the setting of cirrhosis.
moderate AST & ALT elevations (AST > ALT); elevated alk phos; elevated gamma-glutamyl transpeptidase (GGT); serum bilirubin elevated; serum albumin decreased; prothrombin time increased; hyponatremia; thrombocytopenia; leukopenia and anemia
The approach to treating ascites in an outpatient setting includes what two therapeutic interventions?
diuresis (bonus: spiro); sodium/H2O restriction
These are two indicators that a patient should be evaluated for possible liver transplant.
refractory ascites; spontaneous bacterial peritonitis; hepatic encephalopathy; MELD >14