Monthly Archives: October 2012

Pathology: hydatid cyst

The excised hydatid cysts shown here are a beautiful example of a parasitic (tapeworm!) infection with Echinococcus sp.  Although the liver is the most common organ involved, hydatid cysts can be found in the lungs, muscle, brain and kidneys.  A cyst in the liver … Continue reading

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Quotation

The practice of medicine is like walking in the rain and trying to stay dry. – Y. Kletter, MD (c. 2002)

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The Sunday Chronicles

The most common cancer after liver transplant is skin cancer.  Wear sunscreen; avoid dark tans.  Love always, Your friendly neighborhood hepatologist.  Happy Halloween!

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Infiltration

An elevated alkaline phosphatase (and GGT) is your clue to an infiltrative liver disease, like lymphoma or sarcoid, particularly when elevated in isolation.

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Haiku: NASH

O2 radicals Junk up mitochondria And the alarm sounds

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Diuretic use

Question:  A 63 year old cirrhotic female with diuretic-responsive ascites reports that she feels unsteady on her feet, and nearly fell on multiple occasions.  She is on a regimen of furosemide 160 mg per day and spironolactone 400 mg per … Continue reading

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Clinical Pearl

Metabolic bone disease is so common in end-stage liver disease and post-transplantation.  There are several reasons for this: prednisone use, cyclosporin use, hypogonadism, diabetes mellitus, hypovitaminosis D, hyperbilirubin, cholestatic liver diseases (PBC, PSC).

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