Chronic Liver Disease Flashcards
1
Q
Aetiologies?
A
Alcoholism NASH Viral hepatits Leptospirosis Paracetamol overdose Primary biliary cirrhosis Haemachromatosis
2
Q
Signs and Symptoms?
A
Asymptomatic until major complications arise, RUQ pain, Ankle oedema, Distension, Haematemesis, Pruritus, Gynaecomastia, Confusion/fatigue
Spider naevi, palmar erythema, clubbing, Dupuytren’s contracture, Xanthomas, Hepatomegaly, Splenomegaly, ascites, jaundice, fever, hepatic flap
3
Q
Investigations and Findings?
A
FBC - thrombocytopenia INR - increased ALT/AST - increased ALP Bilirubin - increased Ammonia - increased Glucose - decreased Serology Doppler USS - small/large liver CT/MRI GGT - raised suggest alcoholism
4
Q
Management?
A
Treat cause
ABCD resuss
Symptomatic relief
Treat complications
5
Q
Complications?
A
Variceal bleeding --> shock Cirrhosis Infection Sepsis Death
