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Flashcards in liver failure and transplant Deck (21):
1

2 types of liver failure

chonic - common
acute (fulminant) - uncommon

2

5 signs of decompensation

1. ascites
2. varcieal bleeds
3. HE
4. jandice
5. HCC

3

5 year survival of decomp

50%

4

how is ascites related

longer with cirrohosis -more ascites
ascites related to worse oiutcomes

5

how does survival change with ascites tim

goes down with time

6

5 stepwise steps to mgmt of ascites

1. Na intake
2. diuretics
3. paracentesis
4. TIPS
5. transplant

7

what is another complications assoc with survival

varices

8

def of HE

potentially reversible neuropsych abnormalities seen in pts with severe liver dysfunction

9

5 grades of HE

0 - normal
1 - mild - sleep, impaired writing
2- mod - asterixis, lethargy
3 - severe - sonolence, not oriented, paranoid
4 - coma

10

major liver cause of HE

infection - SBP

11

main treatment of HE

decrease circ. ammonia

12

pronosis with HE

without transplant - 1 year survival of 20-40

13

what is common scale to predict survival and 3 levels

childs-pugh - ABC

14

3 parts of MELD score

bili, INR, creat

15

which is better predictor

MELD score

16

how many transplants are from living donors

25%

17

most common cause for transplant

HCV - but going down

18

what is growing pop for liver transplant

NASH

19

survival rate for transplant

80%

20

def. fulminant liver failure

potentially reversible condition with onset of HE within 8 weeks and no prior liver disease

21

most common cause

acetominophen

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