Flashcards in Liver Symposium Deck (32):
What type of hepatitis cause enteric viruses?
What type of hepatitis cause parenteral viruses?
What type of hepatitis cause chronic disease?
How is hepatitis A transmitted?
Who gets immunisation fro Hepatitis A?
Chronic liver disease patients
Men who have sex with men (MSM)
How is hepatitis B transmitted?
Vertical (mother to child)
What is the make up of the hepatitis B vaccine?
Only contains surface antigens
What are the drugs used to treat hepatitis C?
What type of virus is hepatitis D?
Resistant to treatment and usually coinfects with HBV
What is the treatment for hepatitis E?
No specific treatment or effective vaccine and is self limiting
What are the different types of fatty liver disease?
Non alcoholic steatosis
Non alcoholic steatohepatitis
What are the risk factors for fatty liver disease`?
How do you diagnose fatty liver disease?
Biochemical tests (AST/ALT ratio)
Scoring system used
How do you treat fatty liver disease?
Diet and weight reduction
Weight reduction surgery
What is autoimmune hepatitis?
How is autoimmune hepatitis treated?
Long term azathioprine
What are the clinical signs of primary biliary cholangitis?
Anti-mitochondrial antibody positive
What is the treatment for primary biliary cholangitis?
What are the clinical signs of primary sclerosing cholangitis?
intra and extra hepatic bile ducts involvement
How do you treat primary sclerosing cholangitis?
Who are the appropriate liver transplant candidates?
Acute liver failure
Chronic liver disease with poor predicted survival and associated poor QOL
What are the contraindications for liver transplant?
Active and uncontrolled infection
Active substance or alcohol abuse
Severe cardiopulmonary or other comorbid conditions
What is the post operative liver transplant treatment?
Prophylactic antibiotics and anti fungal drugs
Anti rejection drugs (steroids, azathioprine, tacrolimus)
What dose CAGE stand for?
Annoyed by criticism of your drinking
Guilty about your drinking
What os the presentation of alcoholic hepatitis?
Infection is common
Decompensated hepatic function
What are the clinical signs of alcoholic hepatitis
Raised GGT and AlkP
What is the treatment for alcoholic hepatitis?
Treat infection and encephalopathy
Protect against GI bleeding
Airway protection/ ITU care
Review nutrition (frequent feeds)
What is the presentation of spontaneous bacterial peritonitis?
What are the clinical signs of spontaneous bacterial peritonitis?
Neutrophil count >0.25x10(9)/L
Ascitic tap (cultures, WCC, fluid protein and glucose levels)
What is the treatment for spontaneous bacterial peritonitis?
Ascetic fluid drainage
IV albumin infusion
What are the causes of hepatic encephalopathy?