Mapa mental
Cirrhosis
Contenido del mapa
Cirrhosis
Causes
- Common
- Alcohol
- Hep B +/- Hep D
- Hep C
- NAFLD
- Other
- Biliary Cirrhosis
- Primary
- Secondary
- Autoimmune
- Congenital
- Budd-Chiari Syndrome
- Wilson's Disease
- Drugs E.g. Methotrexate
- Alpha 1- Antitrypsin Deficiency
- CF
- Veno-occlusion disease
- Hepatic Venous Congestion
- Biliary Cirrhosis
- Common
Pathology
- Chronic Injury to liver
- Inflammation
- Necrosis
- Fibrosis
- Initiated by activation of Stellate Cells
- Fibrosis
- Necrosis
- Inflammation
- Characteristic Features
- Regenerating nodules separated by fibrous Septa
- Loss of normal Lobular architecture in the nodules
- 2 Types of Cirrhosis
- Micronodular
- Alcohol damage
- Biiary Tract Disease
- Macronodular
- Chronic Viral Hepatitis
- Micronodular
- Chronic Injury to liver
Investigations
- Severity
- LFTs
- Liver Function
- Albumin
- PT
- Biochemistry
- Normal possible
- ALP is raised
- DECOMPENSATED
- Deranged
- Liver Function
- U&Es
- Low Sodium
- Free water clearance defect
- Excess diuretic therapy
- Creatinine high
- Worse Prognosis
- Low Sodium
- Alpha-Fetoprotein
- HCC
- LFTs
- Type
- Viral Markers
- Autoantibodies
- Immunoglobulins
- Copper
- Iron and Ferritin
- Alpha 1- Antitrypsin
- Imaging
- Ultrasound
- SIZE AND SHAPE
- Fatty Change
- Fibrosis
- Patency of Hepatic and Portal Veins
- HCC
- CT-scan
- Heptosplenomeglay
- HCC
- Endoscopy
- Oesophageal Varicies
- Portal HTN gastropathy
- MRI- Scan
- Tumors
- Angiography
- Cholangiography
- Biliary Tree
- Ultrasound
- Liver Biopsy
- Severity
Management
- Manage complications
- Portal HTN
- Variceal Haemorrhage
- Encephalopathy
- Renal Failure
- Hepato-pulmonary Syndrome
- Porto-Pulmonary HTN
- Regular - 6Montly scans
- Early Detection of HCC
- Treat the cause
- Dietary Restriction
- Low Salt intake
- Avoid
- Aspirin
- NSAIDs
- Alcohol
- Liver Transplantation
- Indications
- Acute
- Fulminant Hepatic Failure
- Viral Hepatitis
- Chronic
- Unresponsive Cirrhosis complications
- Child's Grade C
- Debilitating symptoms
- Specific Extra-hepatic Complications of cirrhosis
- Heptaopulmonary Syndrome
- Porto-pulmonary HTN
- Certain types
- Primary Biliar Cirrhosis
- Chronic Hep B if HBV DNA Negative
- Chronic Hep C
- Autoimmune Hepatitis
- Medical Treatment failed
- Severe side effects of Corticosteroids
- Alcoholic Liver disease
- Motivated and commited pts that stop drinking.
- Primary Metabolic Disease
- Wilson's
- Alpha1 Antitrypsin Deficiency
- Acute
- Contraindications
- Absolute
- Active Sepsis
- Malignancy
- Liver Mets
- Relative
- Exensive splanchnic venous thrombosis
- Over 70 years age
- HCC
- Absolute
- Surgery Prep
- Confirm Diagnosis
- Imaging
- Hepatic Arterial and Biliary Tree
- Cardio Respiratory Status
- Renal Status
- Psychosocial Support
- ABO Blood Compatibility
- No evidence of Infection
- HIV
- HBV
- HCV
- Cool donor liver on ice
- Up to 20 hours
- Operation takes around 8 hours
- Rejection
- Acute or Cellular Rejection
- 5-19 days post-op
- Asymptomatic
- Fever
- Histology
- EOSINOPHILES
- Bile Duct Damage
- Responds to Immunosuppreive therapy
- Chronic Doctopenic Rejection
- 6 weeks to 9 weeks
- Disappearing Bile ducts (VBDS)
- Arteriopathy (Occlusion)
- Rarely reversed by immunosuppression
- Retransplantation required
- Graft vs. Host Disease
- Acute or Cellular Rejection
- Recurring Diseases
- HCV Cirrhosis
- PSC
- HCC
- Indications
- Manage complications
Información
- Descripción
- MD Liver Mapa Mental sobre Cirrhosis, creado por Beoluf Jangan el 06/01/2018.
- Creado por
- Beoluf Jangan · ene 2018
- Actualizado
- 6 ene 2018
- Visitas
- 5
- Valoración