Nash / Guha Hepatology

Clinical Cases Uncovered
1. Auflage 2011
ISBN: 978-1-118-29463-5
Verlag: John Wiley & Sons
Format: EPUB
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 216 Seiten, E-Book

Reihe: Clinical Cases

Hepatology is an important specialty with diseases andcomplications related to viral hepatitis and alcohol being the mainreason for seeking specialist advice. On most general medicalrotations and on most surgical wards there are patients withhepatological problems. Hepatology: Clinical Cases Uncoveredcontains clinical presentations with real-life patient cases andoutcomes as seen on the wards and in exams, and leads studentsthrough a practical approach to diagnosis and management ofhepatological disease.
Following a question and answer approach, includingself-assessment material and a 'refresher' section onthe basic science, Hepatology: Clinical Cases Uncoveredfeatures investigations and the treatment options available forpatients presenting with hepatological problems. Difficult conceptsare clarified and relevant links are made between pathology andclinical presentation.
Hepatology: Clinical Cases Uncovered is ideal for medicalstudents, junior doctors on the Foundation Programme, GP trainees,residents, specialist nurses and nurse practitioners. The book isalso an ideal refresher for hepatology or gastroenterology traineesat the beginning of their specialist training programme

Autoren/Hrsg.

Nash, Kathryn

Guha, Indra Neil

Inhaltsverzeichnis

Preface, vii
Acknowledgements, viii
How to use this book, ix
Normal values, x
List of abbreviations, xi
Part 1 Basics, 1
Basic science, 1
Approach to the patient, 20
Part 2 Cases, 39
Patients with acute liver disease
Case 1 A 19-year-old man presenting with jaundice, 39
Case 2 A 25-year-old man with nausea, vomiting andjaundice, 42
Case 3 A 45-year-old woman presenting with severe rightupper quadrant pain and jaundice, 46
Case 4 A 72-year-old man with painless jaundice, 52
Case 5 A 23-year-old woman with vomiting and epigastricpain, 57
Case 6 A 4-week-old baby with jaundice and failure tothrive, 63
Case 7 A 24-year-old woman with HIV and tuberculosisdevelops jaundice, 68
Case 8 Abnormal liver function tests in a collapsedpatient, 71
Case 9 Abnormal liver function tests in a pregnant woman,74
Case 10 A 27-year-old woman with abdominal pain anddistension, 77
Patients with chronic liver disease
Case 11 A 40-year-old woman with lethargy and pruritus,81
Case 12 A 25-year-old woman with malaise and elevatedliver enzymes, 87
Case 13 Deranged liver function tests in a patient withulcerative colitis, 90
Case 14 Fatigue and deranged liver function tests in apatient with haemophilia, 94
Case 15 A 34-year-old man from Hong Kong with jaundiceand vomiting, 99
Case 16 Acute deterioration in a 21-year-old man withchronic hepatitis B virus infection, 106
Case 17 A 53-year-old man with a history of high alcoholintake, 108
Case 18 A 57-year-old man with diabetes and elevatedalanine aminotransferase, 114
Case 19 A 42-year-old man with shortness of breath andabnormal liver function tests, 120
Case 20 A 58-year-old man with diabetes and abnormalliver function tests, 123
Case 21 A 16-year-old boy with cognitive deterioration,ataxia and abnormal liver function tests, 126
Patients with deterioration in chronic liverdisease
Case 22 A 43-year-old man with a large gastrointestinalbleed, 129
Case 23 A 58-year-old woman with a distended abdomen,138
Case 24 A 67-year-old man with cirrhosis and confusion,142
Case 25 A 47-year-old woman suddenly presents withvariceal haemorrhage, 146
Patients with abnormal radiological imaging
Case 26 A 37-year-old woman with abnormal liverultrasound, 150
Case 27 A 72-year-old man with right upper quadrant painand fever, 155
Case 28 A 52-year-old man with diarrhoea and a livermass, 159
Case 29 A 69-year-old man with a liver mass, 161
Liver transplantation
Case 30 A 56-year-old man with abnormal liver functiontests 4 weeks after liver transplantation, 164
Part 3 Self-assessment, 167
MCQs, 167
EMQs, 174
SAQs, 179
Answers, 181
Index of cases by diagnosis, 195
Index, 197

Über Autor(innen)

Kathryn Nash is a Consultant Hepatologist at SouthamptonGeneral Hospital
Indra Neil Guha is Clinical Associate Professor inHepatology at University of Nottingham