Cirrhosis

• What is the most sensitive and specific lab finding in diagnosing liver cirrhosis?

  Thrombocytopaenia
• What is the threshold for giving cirrhosis patients antibiotic prophylaxis for SBP and what antibiotic is given?

  Protein conc <15

  Ciprofloxacin
• What scan is done for liver cirrhosis?

  Transient elastography (fibroscan)
• What are some common causes of cirrhosis?

  Alcohol

  ALD

  NAFLD

  Viral hepatitis
• What are some rare causes of cirrhosis?

  Wilson's

  Haemochromatosis

  Drug induced
• What are some signs of cirrhosis?

  Jaundice

  Bruising

  Asterixis

  Palmer erythema

  Spider naevi

  Hepatomegaly
• What are some risk factors for cirrhosis?

  Alcohol

  Obesity

  Unprotected sex

  Living in countries with hep B/C
• What is the conservative management for cirrhosis?

  Treat underlying cause

  Monitor and manage complications
• How is cirrhosis managed surgically?

  Liver transplant
• What may suggest decompensated cirrhosis?

  Ascites

  Hepatic encephalopathy

  Oesophageal varices

  Jaundice
• What scans can be done for cirrhosis?

  USS/fibroscan

  Liver biopsy

  Upper endoscopy
• What bloods are done for cirrhosis?

  LFTs

  PT

  Albumin
• What are some complications with cirrhosis?

  Hepatic encephalopathy

  Oesophageal varices and bleeding