Cirrhosis resident survival guide: Difference between revisions

Revision as of 23:08, 30 November 2013

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Twinkle Singh, M.B.B.S. [2]

Definition

Cirrhosis is the final stage of chronic liver disease, characterized by replacement of normal liver architecture with fibrosis (scar tissue) and regenerative nodules.

Causes

Life Threatening Causes

Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.

Chronic right side heart failure

Common Causes

Management

Shown below is an algorithm summarizing the approach to [[Cirrhosis]].

Initial Work Up for Cirhosis

History of jaundice, pruritis, weakness, abdominal distention, confusion, upper GI bleed

Signs of liver failure on examination

Send ivestigations, CBC, LFTs, serum chemistry, abdominal USG

Liver biopsy for definitive diagnosis (not required if clinical/laboratory/ radiology data suggest cirrhosis)

References

Template:WikiDoc Sources

@@ Line 27: / Line 27: @@
 ==Management==
-Shown below is an algorithm summarizing the approach to <nowiki>[[disease name]]</nowiki>.
+Shown below is an algorithm summarizing the approach to <nowiki>[[Cirrhosis]]</nowiki>.
-{{familytree/start |summary=PE diagnosis Algorithm.}}
+===Initial Work Up for Cirhosis===
-{{familytree | | | | | | | | A01 |A01= }}
+{{familytree/start |summary=Cirrhosis.}}
-{{familytree | | | | |,|-|-|-|^|-|-|-|-|.| | | }}
+{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
-{{familytree | | | B01 | | | | | | | | B02 | | |B01= |B02= }}
+{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
-{{familytree | | | |!| | | | | | | | | |!| }}
+{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
-{{familytree | | | C01 | | | | | | | | |!| |C01= }}
+{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
-{{familytree | |,|-|^|.| | | | | | | | |!| }}
+{{familytree | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
-{{familytree | D01 | | D02 | | | | | | D03 |D01= |D02= |D03= }}
+{{familytree | | | | A01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |A01=History of jaundice, pruritis, weakness, abdominal distention, confusion, upper GI bleed}}
-{{familytree | |!| | | | | | | | | |,|-|^|.| }}
+{{familytree | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
-{{familytree | E01 | | | | | | | E02 | | | E03 |E01= |E02= |E03= }}
+{{familytree | | | | B01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |B01=Signs of liver failure on examination}}
-{{familytree | | | | | | | | | | |!| | | | |!| }}
+{{familytree | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
-{{familytree | | | | | | | | | | F01 | | | F02 |F01= |F02= }}
+{{familytree | | | | C01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |C01=Send ivestigations, CBC, LFTs, serum chemistry, abdominal USG}}
+{{familytree | | | | |!| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |}}
+{{familytree | | | | D01 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |D01=Liver biopsy for definitive diagnosis (not required if clinical/laboratory/ radiology data suggest cirrhosis)}}
 {{familytree/end}}