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nash kathryn; guha indra neil - hepatology: clinical cases uncovered

Sommario

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 and jaundice, 42

Case 3 A 45–year–old woman presenting with severe right upper 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 epigastric pain, 57

Case 6 A 4–week–old baby with jaundice and failure to thrive, 63

Case 7 A 24–year–old woman with HIV and tuberculosis develops jaundice, 68

Case 8 Abnormal liver function tests in a collapsed patient, 71

Case 9 Abnormal liver function tests in a pregnant woman, 74

Case 10 A 27–year–old woman with abdominal pain and distension, 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 elevated liver enzymes, 87

Case 13 Deranged liver function tests in a patient with ulcerative colitis, 90

Case 14 Fatigue and deranged liver function tests in a patient with haemophilia, 94

Case 15 A 34–year–old man from Hong Kong with jaundice and vomiting, 99

Case 16 Acute deterioration in a 21–year–old man with chronic hepatitis B virus infection, 106

Case 17 A 53–year–old man with a history of high alcohol intake, 108

Case 18 A 57–year–old man with diabetes and elevated alanine aminotransferase, 114

Case 19 A 42–year–old man with shortness of breath and abnormal liver function tests, 120

Case 20 A 58–year–old man with diabetes and abnormal liver 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 liver disease

Case 22 A 43–year–old man with a large gastrointestinal bleed, 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 with variceal haemorrhage, 146

Patients with abnormal radiological imaging

Case 26 A 37–year–old woman with abnormal liver ultrasound, 150

Case 27 A 72–year–old man with right upper quadrant pain and fever, 155

Case 28 A 52–year–old man with diarrhoea and a liver mass, 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 function tests 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





Lingua Italiana!


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    Genere:Libro
    Lingua: Inglese
    Pubblicazione: 03/2011



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