ETOH drinking in patients with HCV increases the risk for advanced fibrosis ; advanced fibrosis in HCV increases the risk for HCC
Posted 04/25/17 09:48:04 AM by Anna Krigel
HCC most commonly distantly metastasizes to the lungs and bones
Posted 04/25/17 10:14:25 AM by Anna Krigel
Increased alkaline phosphatase out of proportion to transaminase or bilirubin elevation can be indicative of diseases that infiltrate the liver
Posted 04/25/17 10:15:17 AM by Anna Krigel
Posted 04/25/17 10:37:18 AM by Anna Krigel
Stages of hepatic fibrosis (METAVIR score)
- F0 = no fibrosis
- F1 = portal fibrosis without septa
- F2 = few septa
- F3 = numerous septa without cirrhosis
- F4 = cirrhosis
Posted 04/25/17 01:30:32 PM by Anna Krigel
Diagnosis of HCC - made on triple phase CT or MRI, radiologic imaging is characteristic of HCC if the lesion has "arterial enhancement with washout" on the venous phase
Posted 04/25/17 01:35:38 PM by Anna Krigel
HCV treatment guidelines
- All patients without a competing reason to die within 1 year should be treated for HCV
- Even those with HCC receive treatment for HCV if there is a reasonable plan for their HCC treatment
Posted 04/25/17 01:36:49 PM by Anna Krigel
For further reading...
Posted 04/25/17 01:39:36 PM by Anna Krigel
Created by Christopher Kelly
Know a hypochondriac? Get them the best-selling book 'AM I DYING?!: A Complete Guide to Your Symptoms, and What to Do Next'
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