Cirrhosis Flashcards Preview

Gastrointestinal > Cirrhosis > Flashcards

Flashcards in Cirrhosis Deck (14):
1

What are the complications of cirrhosis?

Ascites
Variceal bleeding
Encephalopathy
Hepatocellular carcinoma
Portal Hypertension

2

How does cirrhosis cause variceal bleeding?

Increased portal blood pressure causes portal anastomoses to become enlarged and may rupture

3

Can cirrhosis be classed as a vascular disease?

Yes it affects the vascular system, eventually causing ascites

4

What are the 3 main causes of cirrhosis?

Alcohol
Hep C
None Alcoholic Fatty Liver Disease

5

What are the two types of cirrhosis?

Compensated cirrhosis
Decompensated cirrhosis (More severe)

6

What are the signs of compensated cirrhosis?

Spider naevi
Palmar erythema
Clubbing
Gynaecomastia (Moobs)
Hepatomegaly
Splenomegaly
or NONE?

7

What are the signs of decompensated cirrhosis?

Jaundice
Ascites
Encephalopathy
Bruising

8

What is the treatment for decompensated cirrhosis?

Remove/treat underlying cause
Find and treat any infections
Treat abnormal physiology e.g Salt retention
Increase nutrtional intake

9

When should a patient have Vitamin B supplemented

Thiamine should be supplemented in excess alcohol intake

10

Which bone diseases are common in cirrhosis and how do you prevent them?

Osteoporosis and ostemalacia. Supplement 1000mg calcium and 20microg Vitamin D

11

How do you treat ascites?

No NSAIDS
Reduce salt intake
Maintain nutrition
Diuretics - Spironolactone
Paracentesis
Transplant
TIPSS procedure

12

What is the TIPSS procedure

Transjugular Intrahepatic PortoSystemic Shunt

(Stent inserted to relieve pressure from portal circulation)

13

How do you treat encephalopathy?

Treat underlying cause
Lactulose
Rifaxamin
Small frequent meals
Consider transplant in spontaneous cases

14

How can you prevent a first time variceal bleed?

B-Blockers
Variceal ligation