Liver Disease

Question 1

Liver disease causes in order of frequency

Answer 1

1. Chronic Hep C
2. Alcohol liver disease
3. Nonalcoholic steatohepatitis
4. Primary biliary cholangitis
5. Hemochromatosis
6. Wilsons disease

Question 2

What do patients with liver disease present with?

Answer 2

• Non specific symptoms like….
• fatigue
• weakness
• poor appetite
• malaise

Question 3

What are some late signs of liver disease

Answer 3

• dark urine, jaundice, itching, abd pain and bloating

Question 4

Diagnostics Labs + imaging

Answer 4

• AST. ALT bilirubin

Imaging
Ultrasound
CT
MRI
MRCP

Question 5

what’s important to know in their history

Answer 5

• medications (herbal, dietary)
  -toxins (alcohol, drugs, chemicals)
• family hx
• Risk factors ( IV drug use, sexual activity, travel, occupation)

Question 6

Hepatic encephalopathy treatment

Answer 6

lactulose (high ammonia
osmotic diuresis or hypertonic saline