Hepatology

e-learning | Managing abnormal liver function tests

September 5, 2019
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e-learning | Managing abnormal liver function tests
This is a guideline on managing abnormal LFT that was published in 2017 by the British Society of Gastroenterology, but as it so useful I thought it worth summarising it. Key learning points for me: We should be investigating nearly all abnormal LFTs further and shouldn't use the duration or the degree of the abnormality…
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Nice | Non-alcoholic fatty liver disease NAFLD

August 26, 2016
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This is a new guideline from NICE on non alcoholic fatty liver disease (NAFLD) in children, young people and adults. To be honest, I don't think this guideline is terribly helpful. I've done a brief summary, then more detailed notes. In summary: Adults There is no advice on who to test to diagnose NAFLD, nor…
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Nice | Non-alcoholic fatty liver disease NAFLD

August 5, 2016
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This is a new guideline from NICE on non alcoholic fatty liver disease (NAFLD) in children, young people and adults. To be honest, I don't think this guideline is terribly helpful. I've done a brief summary, then more detailed notes. In summary: Adults There is no advice on who to test to diagnose NAFLD, nor…
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Nice | Chronic hepatitis B

August 5, 2013
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This is a guideline which outlines the diagnosis and management of Hepatitis B in adults and children. Of most importance to us, they advise that after you get a positive Hepatitis B test result back on a patient (Hepatitis B surface antigen - HBsAg), certain further tests should be done. The results of these tests should…
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Hepatitis B and C

January 11, 2013
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This guideline aims to get us to increase testing and identification. A lot of the risk factors are fairly obvious, but it is certainly not something I had previously been thinking about testing for outside of an antenatal or GUM scenario. My advice is that if you are thinking of testing for Hep B /…
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Obstetric cholestasis

July 1, 2011
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This is a good overview of the condition. Remember – it is a diagnosis of exclusion. Features: Pruritus without a rash (except excoriation). It is often worse at night and affects palms and soles too. Cholestatic symptoms (pale stool / dark urine / jaundice) Deranged LFT (transaminases / gamma-GT – bilirubin and bile acids may also be…
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