Hepatology 🍾 Flashcards
Bad prognostic features of cirrhosis-
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B= Bilirubin raised
E= Encephalopathy
A= Albumin low
R= Renal dysfunction
S= Sodium low
P= PT prolonged
A= Ascites
Most common cause of portal hypertension
Cirrhosis
Which one plays a key role in pathological basis of fibrosis (cirrhosis)
Activated Stellate cells
Common causes of cirrhosis
Alcohol
Chronic Viral Hepatitis (B,C)
NAFLD
Hepatomegaly is common when cirrhosis is due to-
Alcoholic liver disease
Hemochromatosis
Early feature of cirrhosis
Palmar erythema
Sites of spider telangiectasia
Hands
face
upper chest
Endocrine changes in men in cirrhosis:
Gynaecomastia
Testicular atrophy
Impotence
Loss of male hair distribution
Endocrine changes in women in cirrhosis:
Breast atrophy
Irregular menses
Amenorrhea
Diseases causing both acute and chronic liver injury
Hep B
Alcoholic liver disease
Wilson’s disease
Autoimmune hepatitis
Strong indicator of liver disease
Multiple spider telangiectasia
Features of decompensated CLD
-Prolonged PT
-Low Albumin
-Jaundice
-Variceal bleeding
-Hepatic encephalopathy
-Ascites
-SBP
-Hepatorenal failure
A frequent complication of cirrhosis-
Malnutrition
Prevention of catabolic state in cirrhosis
Late evening snack to minimize overnight fasting
After diagnosis of cirrhosis has been made which investigation will you do next-
Endoscopy to screen for esophageal varices