Figure 8.1 Posttransplant management: blood glucose control. FPG fasting plasma glucose, IGT impaired glucose tolerance, PG plasma glucose (Reproduced with permission from Wilkinson [29] ©Wiley) References 1. Tolman KG, Fonseca…
Drug class Medication Hepatotoxicity Safe in patients with cirrhosis? Comment Sulfonylureasa Glyburide, glipizide Rare cholestasis Yes May not overcome insulin resistance and defect in insulin secretion seen in alcoholic cirrhosis…
Test Change from nonpregnant state Bilirubin (total) Unchanged (or slightly decreased) Aminotransferases (AST, ALT) Unchanged Alkaline phosphatase Increases 2–4 fold Albumin Decreases Prothrombin time Unchanged Fibrinogen Increases by 50 %…
Fig. 36.1 Trends in the distribution of major indications for liver transplantation over the past decade in the United States. HCC hepatocellular carcinoma, HCV hepatitis C, ALD alcoholic liver disease,…
Fig. 34.1 Endoscopic view of grade 2 varices in distal esophagus Prevention of Variceal Hemorrhage Screening for Esophageal Varices in Cirrhotics A great deal of research has been performed on…
Scenario (If the parents…) Transmission (….then the children) If both parents have the disease… …then all children will have the disease If one parent has the disease and one parent…
Moderate-to-marked elevation in aminotransferases Mild elevation in aminotransferases Ischemic injurya, b Nonalcoholic fatty liver disease Toxic injurya, b Alcoholic hepatitis Acute viral hepatitisa, c, d Pharmacology Acute biliary obstructiona, d,…
Persons born between 1945 and 1965 Persons with risk behaviors, exposures, and conditions associated with an increased risk of HCV infection • Risk behaviors – Injection-drug use (current or ever) – Intranasal illicit…
Grade ECOG 0 Fully active, able to carry all pre-disease performance without restriction 1 Restricted in physically strenuous activity but ambulatory and able to carry out work of a light…
Fig. 9.1 Annual number of cases of hepatitis A in the USA according to the CDC Worldwide, approximately 1.5 million clinical cases of hepatitis A occur annually but the rate…
