Liver cirrhosis Flashcards
1
Q
What are the four most common causes of liver cirrhosis?
A
2
Q
what is liver cirrhosis?
A
3
Q
what scoring system can be used to grade cirrhosis?
A
4
Q
what’s the difference between compensated and decompensated liver cirrhosis?
A
compensated - liver still maintaining its functions
decompensated - no longer functioning
5
Q
what score provides an estimate on mortality in compensated cirrhosis and can be used to guide referral for liver transplant?
A
- MELD score
- recommended every 6 months with patients with compensated cirrhosis
- takes into account bilirubin, creatinine, INR and sodium and whether they are requiring dialysis
6
Q
what diet is recommended for liver cirrhosis?
A
- high protein + calories
- low sodium
7
Q
give three main complications of cirrhosis
A
- malnutrition
- portal hypertension + varices
- ascites + spontaneous bacterial peritonitis (SBP)
8
Q
A
9
Q
what five parameters are used in the Child-Pugh score?
A
10
Q
a patient is given a sono-elastography scan (measures the stiffness of tissue), what’s the minimum value for a cirrhosis diagnosis?
A
> 12kPa
