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…
Read moreNice | Non-alcoholic fatty liver disease NAFLD
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…
Read moreNice | Chronic hepatitis B
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…
Read moreHepatitis B and C
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 /…
Read moreObstetric cholestasis
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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