Jaundice Symposium Flashcards
1
Q
Points in a history
A
Pruritus Weight/appetite loss Pain, Fevers, Lethargy Other illnesses Alcohol Viral hepatitis risk: IVDU, travel, blood transfusions, tattoos, sexual history DRUG HISTORY Family history
2
Q
Examination for CLD
A
(Jaundice) Spider naevi Palmar erythema Leuconychia Dupytren’s contracture Ascites Gynaecomastia Splenomegaly
3
Q
Routine Liver Tests (LFTs)
A
Alanine aminotransferase (ALT) Aspartate aminotransferase (AST) Alkaline phosphatase (ALP) Gamma glutamyltransferase (GGT) Bilirubin Albumin International Normalised Ratio (INR)
4
Q
Blood Tests
A
LFT’s INR Viral Serology Autoimmune Screen Immunoglobulins Ferritin a-1 antitrypsin Copper Caeruloplasmin
5
Q
Imaging
A
Ultrasound, CT, MRCP, ERCP
6
Q
Fibroscan
A
Transient elastography
Measure of liver stiffness
Correlates with fibrosis
7
Q
Liver Biopsy
A
Confirm/establish diagnosis
Staging
Assess treatment/disease progress