Monthly Archives: September 2011

Clinical Pearl

When alpha fetoprotein (AFP) is very high (> 400) and no hepatic lesions are found on imaging, think about a diffuse, infiltrative pattern HCC.  These are rarer than the well-circumscribed lesions commonly encountered. Advertisements

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Quotation

The danger in such a man’s life comes with prosperity.  He is safe in the hard-working day, when he is climbing the hill, but once success is reached, with it comes the temptations to which many succumb. – Osler, In … Continue reading

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Definition: HSV hepatitis

Herpes simplex virus (HSV) hepatitis is a rare, anicteric hepatitis caused by HSV-1 or HSV-2 and is commonly seen in the immunocompromised patient (ie. post-transplant, HIV, taking steroids).  It typically presents in a fulminant fashion, with fever and abdominal pain, and … Continue reading

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Journal club: Hospital readmissions among patients with decompensated cirrhosis

This journal club article was taken from this month’s American Journal of Gastroenterology.  Four hundred patients with an index admission for a decompensating cirrhotic event (encephalopathy, variceal bleeding, hepatorenal syndrome, large volume paracentesis) were followed for subsequent hospital readmissions.  It … Continue reading

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How can I remember all the measures of prophylaxis in ESLD?

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The Sunday Chronicles

Evidence our founding fathers were Hepatologists “Oh spare us your bile Alexander.  We mustn’t heed your jaundiced views of the Union, not now, not this day.”

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Clinical Pearl

Autoimmune hepatitis (AIH) type 1 is ANA+ and type 2 is LKM+; either can be associated with ASMA, SLA or IgG.  There is no longer a type 3 AIH.

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