CIrrhosis Flashcards
1
Q
only definitive treatment of cirrhosis
A
- liver transplant
2
Q
micronodular cirrhosis
A
- nodules less than 3 mm in diameter
3
Q
causes of micronodular cirrhosis
A
- alcohol
- hemochromatosis
- cholestatic liver disease
- hepatic venous outflow obstruction
4
Q
macronodular cirrhosis
A
- nodules of various sizes greater than 3 mm
5
Q
causes of macronodular cirrhosis
A
- chronic viral hepatitis
6
Q
symptoms of decompensated cirrhosis
A
- caput medusa
- ascites
- renal failure
- esophageal varices
7
Q
dietary counseling for pts with cirrhosis
A
- do not eat raw oysters
- risk of vibrio vulnificus
8
Q
vaccines reccommended
A
- hep A and B
- pneumococcal
- influenza
9
Q
drugs to avoid
A
- PPIs; especially if complications due to cirrhosis
- NSAIDs; could add to the problem
10
Q
common PE findings of cirrhosis
A
- spider angiomata
- palmar erythema
- nail changes
- Dupuytrens contracture
- fetor hepaticus
- jaundice
- asterixis
11
Q
ultrasound uses and screening for HCC
A
- screening test for HCC and portal HTN
- done q 6 months
- if lesion is evident, refer to GI
- repeat US in 3 months
- MRI and additional studies may be needed
- a-fetoprotein no longer recommended
- AASLD guidelines are new
12
Q
after stage A of Child-Pugh criteria
A
- dont use ACE inhibitors
13
Q
risk of HCC in asymptomatic carriers
A
- HBsAg positive
