Flashcards in Liver Disease Deck (17):
What is of the definition acute liver disease?
Rapid development of hepatic dysfunction
What actually is acute liver disease?
Any insult to the liver causing damage in a previously healthy and normal liver
What is acute liver failure?
Damage that causes encephalopathy and prolonged coagulation
How does acute liver disease present?
What can cause Acute liver disease?
Eppstein Barr Virus
Shock liver (ischaemic hepatitis)
What are the more rarer causes of acute liver disease?
Acute fatty liver of pregnancy
Cholestasis of pregnancy
How do you diagnose acute liver disease?
History and exam
Investigations of chronic liver disease
Liver biopsy (rarely)
What is the treatment for acute liver disease?
Rest, 3-6months for recovery
Increase calories, reduce fat
Treat itch with bicarbonate bath/cholestryamine/uresodeoxycholic acid
Observe for fulminant liver failure
What are the nutritional requirements for acute liver disease?
Increase protein and calorie intake
Consider how low their appetite may be and take steps to conquer that
May require NG feeding
Supplement K, PO4 adn Mg
Which drugs can cause acute liver disease?
Antibiotics like coamoxiclav, flucloxacillin
Drugs like "fat burners" and "protein powders"
What is fulminant hepatic failure?
Jaundice and encephalopathy in those patients with a previously normal liver
What can commonly cause FHF?
What can rarely cause FHF?
What is Budd Chiari?
Occlusion of the hepatic vein
What are the complications of FHF?
What is the treatment for FHF?