PPT-Outpatient Management of Chronic Liver Disease

Quinn Jackson MD Val Carrejo MD October 9 2019 Objectives Know how to address abnormal LFTs in the outpatient setting Understand the impact of NASH and how to treat it Know how to screen patients for and counsel patients . Dr Jack Leach. Lead doctor, Smithfield services, Manchester, ARCH Initiatives, Merseyside. General practitioner, St Helens and Bolton. RCGP co-lead for alcohol training. The liver…healthy or unhealthy?. Functions of the liver . Synthesis . (. gluconeogenesis. , . glycogenesis. , protein, cholesterol, . coag. factors, bile) . Breakdown . (drugs and toxins, . glycogenolysis. , . bilirubin. metabolism, ammonia). Chronic Liver Disease. Dr Ben Robinson F2. Plan for session. Introduction. Functions of liver. Causes of chronic liver disease. Symptoms and signs of chronic liver disease. Case based discussion. Complications of liver disease. Burden. Markedly decreased life expectancy. 12th leading cause of death in US. 25,000 deaths . annually in US. High morbidity and mortality due to complications. Cirrhosis. Alcoholic liver disease. Chronic hepatitis B. . LAYOUT. Definition. Epidemiology. Etiological classification. Clinical presentation. Approach to a child with CLD . Management. Upcoming research. . Chronic Liver Disease. . . Presence of ongoing injury within the liver. 7/28/14. Porter Glover, MD. ELEVATED LFTs. Outpatient. Misnomer. The term is misnomer because it implies that the biochemical tests are solely of hepatic origin. . LIVER FUNCTION/LIVER CHEMISTRY TESTS. Dr Jack Leach. Lead doctor, Smithfield services, Manchester, ARCH Initiatives, Merseyside. General practitioner, St Helens and Bolton. RCGP co-lead for alcohol training. The liver…healthy or unhealthy?. primary. diseases of the liver are:. - Viral hepatitis, . - Nonalcoholic fatty liver disease (NAFLD), . - Alcoholic liver disease, . - Hepatocellular carcinoma (HCC). Hepatic damage also occurs . secondary . Clinical Practice Guidelines. About these slides. These slides give a comprehensive overview of the EASL clinical practice guidelines on nutrition in chronic liver disease. The guidelines were first presented at the International Liver Congress 2018 and will be published soon in . S. Abdullah. CABM, FICMS-G&H. Topics to be discussed today:. Hepatocellular carcinoma. Hereditary hemochromatosis. Wilson’s disease. Hepatic . vein obstruction . (Budd-. Chiari. . syndrome. ). chanzu. and Shreya agrawal. The peer teaching society is not liable for false or misleading information. What will be going over. Functions of the liver. Acute and chronic presentations. Important blood results. Prepared by:. Dr. Muntadher Abdulkareem Abdullah. M.B.Ch.B,CABM,FIBMS,FIBMS(GE.&HEP.). Liver cirrhosis:. Cirrhosis. : . A consequence of CLD characterized by replacement of liver tissue by fibrosis and . COL . MUHAMMAD ASIF NAWAZ . DEPARTMENT OF PATHOLOGY. ARMY MEDICAL COLLEGE, RAWALPINDI. Normal Liver Function. Protein synthesis and degradation: . albumin, transport proteins, clotting factors,. Carbohydrate metabolism. IAPAC African Regional . Capacity-Building . Hub. Based in Johannesburg, South Africa. Mission: Strengthen clinician capacity to deliver HIV, HBV, and HCV treatment . Partners include:. . Supported through an educational grant from: .