Hepatology

Hepatology is an important specialty with diseases and complications related to viral hepatitis and alcohol being the main reason for seeking specialist advice. On most general medical rotations and on most surgical wards there are patients with hepatological problems. Hepatology: Clinical Cases Uncovered contains clinical presentations with real–life patient cases and outcomes as seen on the wards and in exams, and leads students through a practical approach to diagnosis and management of hepatological disease. Following a question and answer approach, including self–assessment material and a ‘refresher’ section on the basic science, Hepatology: Clinical Cases Uncovered features investigations and the treatment options available for patients presenting with hepatological problems. Difficult concepts are clarified and relevant links are made between pathology and clinical presentation. Hepatology: Clinical Cases Uncovered is ideal for medical students, junior doctors on the Foundation Programme, GP trainees, residents, specialist nurses and nurse practitioners. The book is also an ideal refresher for hepatology or gastroenterology trainees at the beginning of their specialist training programme. Kathryn Nash is a consultant hepatologist at Southampton University Hospitals NHS Trust; Indra Neil Guha is Clinical Associate Professor in Hepatology within the Faculty of Medicine and Health Sciences at The University of Nottingham Table of Contents Preface Acknowledgements How to use this book Part 1 Basics Basic science Approach to the patient Clinical overview Part 2 Cases Case 1 A young man presenting with jaundice Case 2 A 25 year old man with nausea, vomiting and jaundice Case 3 A middle aged women presenting with severe right upper quadrant pain and jaundice Case 4 A case of painless jaundice in a 72 year old man Case 5 A 23 year old lady with vomiting and epigastric pain Case 6 A four week old baby with jaundice and failure to thrive Case 7 A 24 year old lady with HIV and tuberculosis develops jaundice Case 8 Abnormal liver function tests in a collapsed patient Case 9 Abnormal liver function tests in a pregnant lady Case 10 A 27 year old lady with abdominal pain and distension Case 11 A 40 year old lady with lethargy and pruritus Case 12 A 25 year old lady with malaise and elevated liver enzymes Case 13 Deranged liver function tests in a patient with ulcerative colitis Case 14 Fatigue and deranged liver function tests in a haemophiliac Case 15 A young man from Hong Kong with jaundice and vomiting Case 16 A 53–year old man with a history of high alcohol intake Case 17 A 57 year old diabetic with elevated ALT Case 18 A 42 year old man with shortness of breath and abnormal liver function tests Case 19 A 58 year old diabetic man with abnormal liver function tests Case 20 A 16 year old with cognitive deterioration, ataxia and abnormal liver function tests Case 21 A 43–year–old man with a large gastrointestinal bleed Case 22 A 58 year old lady with distended abdomen Case 23 A 67–year–old man with cirrhosis and confusion Case 24 Acute deterioration in a 21 year old with chronic hepatitis B virus infection Case 25 A sudden presentation with variceal haemorrhage Case 26 A 37 year old lady with abnormal liver ultrasound Case 27 A 72 year old man with right upper quadrant pain and fever Case 28 A 52 year old man with diarrhoea and a liver mass Case 29 A 69 year old man with a liver mass Case 30 A 56 year old man with abnormal liver function tests 4 weeks after liver transplantation Part 3 Self–assessment