28: Portal Vein Thrombosis

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 28: Portal Vein Thrombosis

Overall Bottom Line PVT can be divided into acute and chronic depending upon the rapidity and cause of the thrombosis. PVT is also commonly distinguished according to etiology: tumorous obstruction,…

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21: Hepatic Encephalopathy

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 21: Hepatic Encephalopathy

Overall Bottom Line HE is a myriad of complex neuropsychiatric symptoms occurring in patients with significant liver dysfunction. It occurs most commonly in patients with cirrhosis, but can be a…

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25: Pregnancy-Related Liver Disease

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 25: Pregnancy-Related Liver Disease

Overall Bottom Line Pregnancy-specific liver diseases are the most common cause of abnormal liver tests in pregnancy. It is imperative to evaluate for pre-existing or newly acquired liver disease (viral…

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27: Budd–Chiari Syndrome

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 27: Budd–Chiari Syndrome

Overall Bottom Line BCS is a vascular disorder of the liver causing outflow obstruction of blood flow. BCS can present as an acute fulminant hepatic failure with massive hepatic necrosis…

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14: Primary Sclerosing Cholangitis

Aug 12, 2016 by in GASTROENTEROLOGY Comments Off on 14: Primary Sclerosing Cholangitis

Overall Bottom Line PSC is a cholestatic liver disease characterized by inflammation and fibrosis of the biliary system that can result in the formation of multifocal biliary strictures. Though the…

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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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