Chronic Liver Disease Flashcards Preview

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Flashcards in Chronic Liver Disease Deck (15):
1

How is primary sclerosing cholangitis treated?

ERCP - stenting/ballooning

2

What are the 4 stages of Hep B infection?

Immune tolerance

Immune clearance

Immune control

Immune escape

3

What can precipitate encephalopathy?

Drugs - benzos, alcohol

Increased ammonia - GI bleeding, infection

Dehydration

TIPS

4

What causes the majority of liver cancer in Australia?

Viral hepatitis

5

What might the platelets be in chronic liver disease?

Lowered <200

6

What is the name of the tube used to occlude varices in acute bleeding?

Senstaken-Blakemore

7

What are the criteria that consititute the Child-Pugh score?

Ascites

Encephalopathy

INR

Albumin

Bilirubin

8

Parotidomegaly is specific to which type of chronic liver disease?

Alcoholic

9

When are the DDx for acute jaundice in someone with chronic liver disease?

Portal vein thrombosis

Acute obstruction of the biliary tree

Spontaneous bacterial peritonitis

10

What is the pathonemonic feature of hepatic failure?

Portosystemic encephalopathy

11

Which beta-blocker is used to treat varices?

Propranolol

12

How is primary biliary cirrhosis treated?

Urso-deoxycholic acid

 

13

How is autoimmune hepatitis treated?

Prednisolone

+/-

Azathioprine/Metacaptopurine

14

Outline the histological progression of fibrosis in cirrhosis

F1 - Periportal fibrosis

F2 - Periportal fibrosis with few septa

F3 - Numerous septa without architectural distortion

F4 - Architectural distortion and nodular formation

15

How long can you expect a liver transplant to last?

>20 years