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Flashcards in CIrrhosis Deck (13):
1

only definitive treatment of cirrhosis

- liver transplant

2

micronodular cirrhosis

- nodules less than 3 mm in diameter

3

causes of micronodular cirrhosis

- alcohol
- hemochromatosis
- cholestatic liver disease
- hepatic venous outflow obstruction

4

macronodular cirrhosis

- nodules of various sizes greater than 3 mm

5

causes of macronodular cirrhosis

- chronic viral hepatitis

6

symptoms of decompensated cirrhosis

- caput medusa
- ascites
- renal failure
- esophageal varices

7

dietary counseling for pts with cirrhosis

- do not eat raw oysters
- risk of vibrio vulnificus

8

vaccines reccommended

- hep A and B
- pneumococcal
- influenza

9

drugs to avoid

- PPIs; especially if complications due to cirrhosis
- NSAIDs; could add to the problem

10

common PE findings of cirrhosis

- spider angiomata
- palmar erythema
- nail changes
- Dupuytrens contracture
- fetor hepaticus
- jaundice
- asterixis

11

ultrasound uses and screening for HCC

- 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

after stage A of Child-Pugh criteria

- dont use ACE inhibitors

13

risk of HCC in asymptomatic carriers

- HBsAg positive