17: Alpha-1 Antitrypsin Deficiency

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 17: Alpha-1 Antitrypsin Deficiency

Overall Bottom Line Alpha-1 antitrypsin (AAT) deficiency is an inherited disease primarily affecting the lungs and liver, which is most often due to a defect in the release of AAT…

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7: HIV/HCV and HIV/HBV Co-infections

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 7: HIV/HCV and HIV/HBV Co-infections

Overall Bottom Line HIV co-infection accelerates both hepatitis C and hepatitis B natural history leading to faster progression to and increased incidence of cirrhosis, HCC and death. HIV/HCV co-infected patients…

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22: Hepatorenal Syndrome

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 22: Hepatorenal Syndrome

Overall Bottom Line HRS is a potentially reversible functional renal insufficiency in patients with cirrhosis, advanced liver failure and portal hypertension. There is no specific diagnostic test for HRS. The…

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13: Primary Biliary Cirrhosis

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 13: Primary Biliary Cirrhosis

Overall Bottom Line PBC is a slowly progressive autoimmune liver disease that causes destruction to the small- and medium-sized intrahepatic bile ducts. Most patients with PBC are diagnosed after abnormal…

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24: Portopulmonary Hypertension

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 24: Portopulmonary Hypertension

Overall Bottom Line PPHTN is the presence of pulmonary arterial hypertension in the setting of portal hypertension. The cause is unknown but appears to be related to cytokine-induced remodeling of…

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33: Nutrition in Liver Diseases

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 33: Nutrition in Liver Diseases

Overall Bottom Line The risk of malnutrition is shown to correlate with severity of disease in cirrhotic patients. PEM is frequently found in decompensated cirrhotic patients at the time of…

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15: Hereditary Hemochromatosis

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 15: Hereditary Hemochromatosis

Overall Bottom Line HH is an autosomal recessive disease caused by mutations in the HFE gene leading to increased iron absorption and deposition of iron in various organs, including the…

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20: Spontaneous Bacterial Peritonitis

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 20: Spontaneous Bacterial Peritonitis

Overall Bottom Line SBP is observed predominantly in patients with advanced cirrhosis. Gram-negative aerobic bacteria are causative in approximately 80% of patients, anaerobic bacteria occur in no more than 5%…

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10: Alcoholic Hepatitis

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 10: Alcoholic Hepatitis

Overall Bottom Line AH represents a clinicopathologic spectrum of liver disease, ranging from mild to a severe, life-threatening injury in patients who drink to excess. AH is typically characterized by…

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