Monthly Archives: February 2012

Radiology: Hepatic artery stenosis

The hepatic artery, a branch of the celiac axis that leaves the abdominal aorta, is one of several important anastamoses that are part of liver transplantation.  The hepatic artery supplies blood to the biliary tree.  Thrombosis in the immediate post-transplant setting … Continue reading

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Demineralization

Metabolic bone disease is extremely common in chronic liver disease, especially the cholestatic liver diseases.  Vitamin D deficiency is common the general population as well as the liver population.  Don’t forget to screen for osteopenia/osteoporosis every 2 years!

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Lecture: minimal hepatic encephalopathy

Today’s lecture focused on the diagnosis of minimal hepatic encephalopathy, with detail on legal implications.  Hepatic encephalopathy comes in three chronic forms: episodic, persistant and minimal. Minimal hepatic encephalopathy (mHE) is difficult to diagnose, and is not part of the West Haven … Continue reading

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The Sunday Chronicles

“It only looks like I’m listening to your laundry list of symptoms, but I’m actually screaming inside my head right now.”

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Definition: autoimmune pancreatitis

Autoimmune pancreatitis is a misnomer of sorts because it is a systemic disease of immunoglobulin G (subclass 4) deposition that commonly affects the pancreas as well as the intrahepatic bile ducts.  It should be considered whenever primary sclerosing cholangitis (PSC) … Continue reading

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Bleeding prophylaxis

Question: A 49 year old female with PBC and compensated cirrhosis undergoes screening EGD.  There is mild portal hypertensive gastropathy and no esophageal varices.  You are interested in preventing future bleeding from varices.  What is your next step? A. prescribe … Continue reading

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Pathology: Dupuytren’s contracture

Dupuytren’s contracture is commonly seen in the 4th or 5th digit of a cirrhotic’s hand, though it is not specific for cirrhosis.  Since it is often seen in alcoholics and diabetics, ALD and NASH may certainly be predisposing illnesses.  It … Continue reading

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