Podcast
Questions and Answers
Which broad category of hepatic injury directly contributes to the formation of esophageal varices?
Which broad category of hepatic injury directly contributes to the formation of esophageal varices?
- Cirrhosis
- Ascites
- Hepatic encephalopathy
- Portal hypertension (correct)
Which of the following conditions is characterized by the irreversible replacement of normal liver tissue with non-functional scar tissue?
Which of the following conditions is characterized by the irreversible replacement of normal liver tissue with non-functional scar tissue?
- Portal hypertension
- Hepatitis
- Steatosis
- Cirrhosis (correct)
What is the most common cause of cirrhosis?
What is the most common cause of cirrhosis?
- Hepatitis B
- Alcoholic hepatitis (correct)
- Metabolic dysfunction associated steatotic liver disease
- Hepatitis C
Which of the following complications of cirrhosis directly leads to an increased risk of bleeding due to platelets getting trapped in the spleen?
Which of the following complications of cirrhosis directly leads to an increased risk of bleeding due to platelets getting trapped in the spleen?
What is the underlying cause of caput medusae in patients with cirrhosis?
What is the underlying cause of caput medusae in patients with cirrhosis?
What is the primary goal of treatment for alcoholic hepatitis?
What is the primary goal of treatment for alcoholic hepatitis?
Which type of viral hepatitis is most likely to lead to chronic hepatitis?
Which type of viral hepatitis is most likely to lead to chronic hepatitis?
Which of the following is a rare, but recognized, sign and symptom of Hepatitis A?
Which of the following is a rare, but recognized, sign and symptom of Hepatitis A?
In the context of Hepatitis B infection, what does a positive Hepatitis B Surface Antigen (HBsAg) test indicate?
In the context of Hepatitis B infection, what does a positive Hepatitis B Surface Antigen (HBsAg) test indicate?
A patient with known cirrhosis presents with jaundice, ascites, and hepatic encephalopathy. Which of the following conditions is most likely contributing to these clinical signs?
A patient with known cirrhosis presents with jaundice, ascites, and hepatic encephalopathy. Which of the following conditions is most likely contributing to these clinical signs?
Which of the following best describes the underlying process of cirrhosis?
Which of the following best describes the underlying process of cirrhosis?
Which of the following is a common complication of cirrhosis that can lead to cognitive impairment and altered levels of consciousness?
Which of the following is a common complication of cirrhosis that can lead to cognitive impairment and altered levels of consciousness?
A patient with cirrhosis develops ascites. Which physiological mechanism directly contributes to the formation of ascites in this condition?
A patient with cirrhosis develops ascites. Which physiological mechanism directly contributes to the formation of ascites in this condition?
What laboratory findings would be most indicative of cirrhosis?
What laboratory findings would be most indicative of cirrhosis?
Which of the following signs and symptoms is associated with portal hypertension in cirrhosis?
Which of the following signs and symptoms is associated with portal hypertension in cirrhosis?
Which of the following signs and symptoms is more related to declining liver function?
Which of the following signs and symptoms is more related to declining liver function?
What is the likely underlying cause of spider telangiectasia (spider angiomas) seen in patients with cirrhosis?
What is the likely underlying cause of spider telangiectasia (spider angiomas) seen in patients with cirrhosis?
What is the primary treatment strategy for alcoholic hepatitis?
What is the primary treatment strategy for alcoholic hepatitis?
A male patient with cirrhosis exhibits gynecomastia, testicular atrophy, and thinning of armpit hair. What hormonal imbalance is most likely contributing to these findings?
A male patient with cirrhosis exhibits gynecomastia, testicular atrophy, and thinning of armpit hair. What hormonal imbalance is most likely contributing to these findings?
Why is digital clubbing seen in some patients with cirrhosis?
Why is digital clubbing seen in some patients with cirrhosis?
What is the role of diuretics in managing cirrhosis?
What is the role of diuretics in managing cirrhosis?
Which of the following is the most direct consequence of portal hypertension?
Which of the following is the most direct consequence of portal hypertension?
What underlying condition most commonly leads to portal hypertension?
What underlying condition most commonly leads to portal hypertension?
If portal hypertension is left untreated, what can it lead to?
If portal hypertension is left untreated, what can it lead to?
What is the primary aim of using medications like beta-blockers in the treatment of portal hypertension?
What is the primary aim of using medications like beta-blockers in the treatment of portal hypertension?
What is the underlying mechanism behind the formation of esophageal varices?
What is the underlying mechanism behind the formation of esophageal varices?
A patient diagnosed with esophageal varices is prescribed beta-blockers. What is the intended therapeutic effect of this medication in this context?
A patient diagnosed with esophageal varices is prescribed beta-blockers. What is the intended therapeutic effect of this medication in this context?
What is the most immediate life-threatening risk associated with esophageal varices?
What is the most immediate life-threatening risk associated with esophageal varices?
How does increased BP in the portal vein lead to hepatic encephalopathy?
How does increased BP in the portal vein lead to hepatic encephalopathy?
Which substance, when elevated in the bloodstream due to liver dysfunction, directly contributes to the development of hepatic encephalopathy?
Which substance, when elevated in the bloodstream due to liver dysfunction, directly contributes to the development of hepatic encephalopathy?
What are early signs of hepatic encephalopathy?
What are early signs of hepatic encephalopathy?
What dietary modification is typically recommended in the treatment of hepatic encephalopathy to reduce ammonia production?
What dietary modification is typically recommended in the treatment of hepatic encephalopathy to reduce ammonia production?
A patient with hepatic encephalopathy is prescribed lactulose. What is the mechanism of action of lactulose in treating this condition?
A patient with hepatic encephalopathy is prescribed lactulose. What is the mechanism of action of lactulose in treating this condition?
What causes Jaundice?
What causes Jaundice?
In which scenario does bilirubin filtered from the blood cannot drain properly into the bile ducts or digestive tract to be passed out of the body
In which scenario does bilirubin filtered from the blood cannot drain properly into the bile ducts or digestive tract to be passed out of the body
What is fulminant hepatitis?
What is fulminant hepatitis?
What type(s) of hepatitis can progress to fulminant hepatitis if it's of that/those strains?
What type(s) of hepatitis can progress to fulminant hepatitis if it's of that/those strains?
Which of the following describes Hepatitis?
Which of the following describes Hepatitis?
Hepatitis A is primarily transmitted through which route:
Hepatitis A is primarily transmitted through which route:
Which of the following statements is true regarding hepatitis A?
Which of the following statements is true regarding hepatitis A?
Which hepatitis is transmitted via blood and body fluids?
Which hepatitis is transmitted via blood and body fluids?
Which of the following is used for diagnosis of Hepatitis B?
Which of the following is used for diagnosis of Hepatitis B?
What preventative measure is most effective in reducing the risk of hepatitis B infection?
What preventative measure is most effective in reducing the risk of hepatitis B infection?
What is true of individuals who are 'healthy carriers' of hepatitis B?
What is true of individuals who are 'healthy carriers' of hepatitis B?
How is Hepatitis C transmitted?
How is Hepatitis C transmitted?
Which factor increases the likelihood of developing hepatitis C?
Which factor increases the likelihood of developing hepatitis C?
A patient is diagnosed with Hepatitis D. What other hepatitis virus must this patient also have?
A patient is diagnosed with Hepatitis D. What other hepatitis virus must this patient also have?
What is the primary mode of transmission for hepatitis E?
What is the primary mode of transmission for hepatitis E?
Which patient population faces the greatest risk of severe complications from hepatitis E?
Which patient population faces the greatest risk of severe complications from hepatitis E?
What is the gold standard for treatment of Hepatitis?
What is the gold standard for treatment of Hepatitis?
What is a common symptom of alcoholic hepatitis?
What is a common symptom of alcoholic hepatitis?
How is chronic hepatitis defined?
How is chronic hepatitis defined?
Which of the following viruses is most commonly responsible for chronic hepatitis?
Which of the following viruses is most commonly responsible for chronic hepatitis?
How does MASH develop?
How does MASH develop?
What are the main treatments for MASH?
What are the main treatments for MASH?
What is a sign and symptom of HCC?
What is a sign and symptom of HCC?
Which of the following represents the typical prognosis for an individual diagnosed with cirrhosis who does not undergo a liver transplant?
Which of the following represents the typical prognosis for an individual diagnosed with cirrhosis who does not undergo a liver transplant?
Which laboratory finding is commonly associated with cirrhosis due to the decreased functionality of the liver?
Which laboratory finding is commonly associated with cirrhosis due to the decreased functionality of the liver?
Which of the following is the most accurate description of portal hypertension?
Which of the following is the most accurate description of portal hypertension?
What is a key element in the pathogenesis of caput medusae in individuals with portal hypertension?
What is a key element in the pathogenesis of caput medusae in individuals with portal hypertension?
Which of the following is a serious risk factor that is a consequence of esophageal varices?
Which of the following is a serious risk factor that is a consequence of esophageal varices?
What is the primary component in the pathogenesis of hepatic encephalopathy?
What is the primary component in the pathogenesis of hepatic encephalopathy?
Which dietary adjustment is most appropriate to minimizing the effects of hepatic encephalopathy?
Which dietary adjustment is most appropriate to minimizing the effects of hepatic encephalopathy?
Which assessment finding is indicative of jaundice?
Which assessment finding is indicative of jaundice?
When considering the etiology of jaundice, which scenario represents a posthepatic cause?
When considering the etiology of jaundice, which scenario represents a posthepatic cause?
What characteristics define fulminant hepatitis, distinguishing it from other forms of hepatitis?
What characteristics define fulminant hepatitis, distinguishing it from other forms of hepatitis?
Which acute viral hepatitis types can progress to fulminant hepatitis?
Which acute viral hepatitis types can progress to fulminant hepatitis?
Which is a description of Hepatitis?
Which is a description of Hepatitis?
Hepatitis A is usually transmitted into a new host through which route?
Hepatitis A is usually transmitted into a new host through which route?
A characteristic to Hepatitis A is:
A characteristic to Hepatitis A is:
Which of the following is true regarding hepatitis B's mode of transmission?
Which of the following is true regarding hepatitis B's mode of transmission?
When diagnosing Hepatitis B, what factor would be analyzed?
When diagnosing Hepatitis B, what factor would be analyzed?
What action best reduces the risk of contracting hepatitis B?
What action best reduces the risk of contracting hepatitis B?
What may occur in 'healthy carriers' of hepatitis B?
What may occur in 'healthy carriers' of hepatitis B?
How is hepatitis C typically transmitted?
How is hepatitis C typically transmitted?
Which activity significantly elevates the risk of contracting hepatitis C?
Which activity significantly elevates the risk of contracting hepatitis C?
What action is needed to contract Hepatitis D?
What action is needed to contract Hepatitis D?
What is the primary mechanism of Hepatitis E transmission?
What is the primary mechanism of Hepatitis E transmission?
Which group demonstrates a risk of developing a severe from of Hepatitis E?
Which group demonstrates a risk of developing a severe from of Hepatitis E?
When is massage contraindicated for acute viral hepatitis?
When is massage contraindicated for acute viral hepatitis?
Which process is most crucial for treating acute viral hepatitis?
Which process is most crucial for treating acute viral hepatitis?
What is the recommended course of action with hepatitis A, B, and/or E?
What is the recommended course of action with hepatitis A, B, and/or E?
Can hep B, D, and/or E require specific treatments to fully overcome the hepatitis strain?
Can hep B, D, and/or E require specific treatments to fully overcome the hepatitis strain?
What is the recommended amount of drinks to consume per week?
What is the recommended amount of drinks to consume per week?
A typical sign and symptom associated with alcoholic hepatitis is:
A typical sign and symptom associated with alcoholic hepatitis is:
What is the most effective treatment for Alcoholic Hepatitis?
What is the most effective treatment for Alcoholic Hepatitis?
How long does inflammation typically last for a person to characterized as having 'Chronic Hepatitis'?
How long does inflammation typically last for a person to characterized as having 'Chronic Hepatitis'?
What are common causes of chronic conditions?
What are common causes of chronic conditions?
Select a sign and symptom that can arise as a result of chronic hepatitis:
Select a sign and symptom that can arise as a result of chronic hepatitis:
What is the first step a doctor will do when they suspect a chronic Hepatitis?
What is the first step a doctor will do when they suspect a chronic Hepatitis?
What can be effective when treating a chronic Hepatitis infection?
What can be effective when treating a chronic Hepatitis infection?
What percentage typically turns into cirrhosis from MASH?
What percentage typically turns into cirrhosis from MASH?
What is the main route for treating MASH in the population?
What is the main route for treating MASH in the population?
What vague sign may indicate Hepatocellular Carcinoma (HCC)?
What vague sign may indicate Hepatocellular Carcinoma (HCC)?
Which factor primarily dictates the appropriateness of massage for a patient with cirrhosis?
Which factor primarily dictates the appropriateness of massage for a patient with cirrhosis?
In the progression of liver disease, what directly precedes the development of cirrhosis in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)?
In the progression of liver disease, what directly precedes the development of cirrhosis in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)?
What is the MOST likely consequence if esophageal varices remain untreated?
What is the MOST likely consequence if esophageal varices remain untreated?
What aspect needs to be considered when you may apply massage to someone with esophageal varices?
What aspect needs to be considered when you may apply massage to someone with esophageal varices?
Digital clubbing is sometimes seen in patients with cirrhosis. Existing research suggests it involves increased vascular endothelial growth factor and fibroblast growth factor or an altered estrogen/testosterone ratio, but the underlying mechanisms is:
Digital clubbing is sometimes seen in patients with cirrhosis. Existing research suggests it involves increased vascular endothelial growth factor and fibroblast growth factor or an altered estrogen/testosterone ratio, but the underlying mechanisms is:
How long does liver inflammation has to last in order for it to be categorized as 'Chronic Hepatitis'?
How long does liver inflammation has to last in order for it to be categorized as 'Chronic Hepatitis'?
Which of the following is LEAST likely to be associated with portal hypertension?
Which of the following is LEAST likely to be associated with portal hypertension?
Which of the following is TRUE regarding treatment for acute viral hepatitis?
Which of the following is TRUE regarding treatment for acute viral hepatitis?
If a person has co-infection of hep B with D, what would that indicate?
If a person has co-infection of hep B with D, what would that indicate?
What is the MOST important aspect of treatment for alcoholic hepatitis?
What is the MOST important aspect of treatment for alcoholic hepatitis?
Which of the following is accurate of a chronic viral hepatitis patient?
Which of the following is accurate of a chronic viral hepatitis patient?
What is pathologically found in alcoholic hepatitis?
What is pathologically found in alcoholic hepatitis?
Which population faces the greatest risk of complication from hepatitis E?
Which population faces the greatest risk of complication from hepatitis E?
Early in the infection stage, what are the typical Symptoms associated with Hepatitis B?
Early in the infection stage, what are the typical Symptoms associated with Hepatitis B?
Which of the following chronic conditions will have the greatest risk of cirrhosis?
Which of the following chronic conditions will have the greatest risk of cirrhosis?
Compared to Hepatitis B, how is Hepatitis C transmitted?
Compared to Hepatitis B, how is Hepatitis C transmitted?
Which of the following infections requires a previous infection in order to acquire it?
Which of the following infections requires a previous infection in order to acquire it?
How should any abdominal massages be performed if a patient has portal hypertension?
How should any abdominal massages be performed if a patient has portal hypertension?
Which of the following signs or symptoms is more typically associated with symptoms related to portal hypertension, rather than declining liver function?
Which of the following signs or symptoms is more typically associated with symptoms related to portal hypertension, rather than declining liver function?
What signs shows the progression from non-alcoholic fatty liver disease (NAFLD) to NASH to cirrhosis?
What signs shows the progression from non-alcoholic fatty liver disease (NAFLD) to NASH to cirrhosis?
What is a key characteristic differentiating simple hepatic steatosis (NAFLD) from MASH?
What is a key characteristic differentiating simple hepatic steatosis (NAFLD) from MASH?
Which of the following best describes the 'two-hit' model in the pathophysiology of MASH?
Which of the following best describes the 'two-hit' model in the pathophysiology of MASH?
A patient with MASH is MOST likely to exhibit clinical findings related to which co-existing condition?
A patient with MASH is MOST likely to exhibit clinical findings related to which co-existing condition?
What percentage of MASH cases progress to cirrhosis?
What percentage of MASH cases progress to cirrhosis?
Which of the following is a primary treatment strategy for Metabolic dysfunction-associated steatohepatitis (MASH)?
Which of the following is a primary treatment strategy for Metabolic dysfunction-associated steatohepatitis (MASH)?
How does the initial presentation of hepatocellular carcinoma (HCC) typically manifest?
How does the initial presentation of hepatocellular carcinoma (HCC) typically manifest?
What is the MOST effective preventative measure for hepatocellular carcinoma (HCC)?
What is the MOST effective preventative measure for hepatocellular carcinoma (HCC)?
Which chronic hepatitis infections require annual screening for liver cancer?
Which chronic hepatitis infections require annual screening for liver cancer?
What histological finding is characteristic of alcoholic hepatitis?
What histological finding is characteristic of alcoholic hepatitis?
In patients with cirrhosis, what is the primary rationale for implementing a low sodium diet?
In patients with cirrhosis, what is the primary rationale for implementing a low sodium diet?
For hepatitis treatment, which approach addresses the underlying triggers of Hepatic Encephalopathy?
For hepatitis treatment, which approach addresses the underlying triggers of Hepatic Encephalopathy?
Which symptom suggests the transition between MASH and progressing to cirrhosis?
Which symptom suggests the transition between MASH and progressing to cirrhosis?
Which factor influences appropriateness of massage with viral hepatitis?
Which factor influences appropriateness of massage with viral hepatitis?
As for general concerns with viral hepatitis, what is the length required to pass without fever for a better massage condition?
As for general concerns with viral hepatitis, what is the length required to pass without fever for a better massage condition?
What lifestyle choice would most need consideration by a therapist prior to treating a client?
What lifestyle choice would most need consideration by a therapist prior to treating a client?
How can you categorize appropriate usage time frame with alcohol consumption
How can you categorize appropriate usage time frame with alcohol consumption
How long must liver inflammation last to be considered chronic hepatitis?
How long must liver inflammation last to be considered chronic hepatitis?
What is required when someone has chronic Hepatitis B?
What is required when someone has chronic Hepatitis B?
A patient presents with fatty liver, hepatocyte ballooning, and lobular inflammation. Which condition is most likely?
A patient presents with fatty liver, hepatocyte ballooning, and lobular inflammation. Which condition is most likely?
When administering abdominal massage, what aspect MOST needs attention? (Assume patient safety has already been addressed)
When administering abdominal massage, what aspect MOST needs attention? (Assume patient safety has already been addressed)
What indicates an important symptom of the icteric phase of Hepatitis B infection?
What indicates an important symptom of the icteric phase of Hepatitis B infection?
Which Hepatitis strain is MOST likely to develop into a chronic condition?
Which Hepatitis strain is MOST likely to develop into a chronic condition?
What is the MAIN treatment option for patients that have already contracted Hepatitis C
What is the MAIN treatment option for patients that have already contracted Hepatitis C
What statement regarding portal hypertension needs to take into account in order to massage?
What statement regarding portal hypertension needs to take into account in order to massage?
Ascites, jaundice, and splenomegaly are primarily associated with which broad category of hepatic injury?
Ascites, jaundice, and splenomegaly are primarily associated with which broad category of hepatic injury?
A patient with known cirrhosis develops dark urine, fatigue, and greasy, foul-smelling stools (steatorrhea). What is the MOST likely underlying cause of these symptoms?
A patient with known cirrhosis develops dark urine, fatigue, and greasy, foul-smelling stools (steatorrhea). What is the MOST likely underlying cause of these symptoms?
Which symptom is MOST likely related to portal hypertension rather than declining liver function, and should be considered before massaging?
Which symptom is MOST likely related to portal hypertension rather than declining liver function, and should be considered before massaging?
Small yellow nodules especially around the eyes, or xanthelasma, are associated specifically with:
Small yellow nodules especially around the eyes, or xanthelasma, are associated specifically with:
Which sign is commonly associated in Hep B but can also appear in Hep C infections?
Which sign is commonly associated in Hep B but can also appear in Hep C infections?
Following the convalescent stage where viral antigens disappear and immune antibodies appear, which description would be MOST accurate?
Following the convalescent stage where viral antigens disappear and immune antibodies appear, which description would be MOST accurate?
What is the leading cause of liver disease within US borders?
What is the leading cause of liver disease within US borders?
Which Hepatitis strains have a vaccine present in the market and are commonly recommended for those with high risk?
Which Hepatitis strains have a vaccine present in the market and are commonly recommended for those with high risk?
Which symptoms are apparent during acute stage?
Which symptoms are apparent during acute stage?
Alcohol hepatitis is MOST associated with damage to which site?
Alcohol hepatitis is MOST associated with damage to which site?
In relationship with other risk factors, the highest chance for people to develop chronic condition has
In relationship with other risk factors, the highest chance for people to develop chronic condition has
What is MOST likely required in order to resolve an alcoholic hepatitis infection overall?
What is MOST likely required in order to resolve an alcoholic hepatitis infection overall?
In what region within the body is pain MOST likely if problems with Gallbladder function arise?
In what region within the body is pain MOST likely if problems with Gallbladder function arise?
When testing, which choice can the doctor order to find out the severity of your hepatitis?
When testing, which choice can the doctor order to find out the severity of your hepatitis?
When determining whether any Hep A,B,C,D,E will turn into a chronic condition, how much does Genetic makeup effect the decision? (Low, Somewhat, High, Does not contribute)
When determining whether any Hep A,B,C,D,E will turn into a chronic condition, how much does Genetic makeup effect the decision? (Low, Somewhat, High, Does not contribute)
Which of the following Hepatitis strains require the co-infection of Hep B, in order?
Which of the following Hepatitis strains require the co-infection of Hep B, in order?
What description can help indicate for fulminant hepatitis?
What description can help indicate for fulminant hepatitis?
Due to its transmission route, which population should exercise extra caution regarding the risk of hepatitis E?
Due to its transmission route, which population should exercise extra caution regarding the risk of hepatitis E?
Which of the following describes the progression that leads to cirrhosis as a result of Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)?
Which of the following describes the progression that leads to cirrhosis as a result of Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)?
What is the MOST likely underlying cause for the presence of ascites, jaundice, and splenomegaly in a patient?
What is the MOST likely underlying cause for the presence of ascites, jaundice, and splenomegaly in a patient?
What is a key characteristic to Hepatitis A?
What is a key characteristic to Hepatitis A?
What is the primary rationale for recommending a low-sodium diet to individuals with cirrhosis?
What is the primary rationale for recommending a low-sodium diet to individuals with cirrhosis?
In the context of acute viral hepatitis, which of the following statements is TRUE regarding vaccination?
In the context of acute viral hepatitis, which of the following statements is TRUE regarding vaccination?
Which factor increases the risk of alcoholic hepatitis?
Which factor increases the risk of alcoholic hepatitis?
For a client with cirrhosis, what assessment details would be MOST important to gather before providing massage therapy?
For a client with cirrhosis, what assessment details would be MOST important to gather before providing massage therapy?
What is the primary characteristic of hepatic encephalopathy?
What is the primary characteristic of hepatic encephalopathy?
A patient is suspected of having chronic hepatitis. What action would be MOST definitive in DIAGNOSING the conditions?
A patient is suspected of having chronic hepatitis. What action would be MOST definitive in DIAGNOSING the conditions?
Following the progression of Hepatitis B infection, which description would be considered MOST accurate during the convalescent phase?
Following the progression of Hepatitis B infection, which description would be considered MOST accurate during the convalescent phase?
Which statement regarding portal hypertension must a massage therapist consider when working on a client?
Which statement regarding portal hypertension must a massage therapist consider when working on a client?
What is the major symptom that may result in the transition of MASLD to Cirrhosis?
What is the major symptom that may result in the transition of MASLD to Cirrhosis?
What is the typical means of getting Hepatitis A?
What is the typical means of getting Hepatitis A?
During the icteric phase of hepatitis B infection, what would a patient exhibit?
During the icteric phase of hepatitis B infection, what would a patient exhibit?
How many standard drinks per week is considered to be too much alcohol consumption, per the information given?
How many standard drinks per week is considered to be too much alcohol consumption, per the information given?
What is a common EARLY sign and symptom associated with alcoholic hepatitis?
What is a common EARLY sign and symptom associated with alcoholic hepatitis?
What is a characteristic associated with hepatitis C?
What is a characteristic associated with hepatitis C?
What is a key aspect to keep in mind regarding viral hepatitis and massage therapy?
What is a key aspect to keep in mind regarding viral hepatitis and massage therapy?
What sign(s) and symptom(s) are more related to a decline in liver function?
What sign(s) and symptom(s) are more related to a decline in liver function?
Which factor has the HIGHEST association in developing a chronic condition.
Which factor has the HIGHEST association in developing a chronic condition.
Which of the following factors is the MOST important determining factor when applying massage to a patient?
Which of the following factors is the MOST important determining factor when applying massage to a patient?
When considering Hepatitis B, what does a blood test for Hepatitis B Surface antigen (HBsAg) indicate?
When considering Hepatitis B, what does a blood test for Hepatitis B Surface antigen (HBsAg) indicate?
While diagnosing the severity of fulminant hepatitis, which symptom(s) can you expect?
While diagnosing the severity of fulminant hepatitis, which symptom(s) can you expect?
What is occurring when a patient is affected by jaundice?
What is occurring when a patient is affected by jaundice?
When a patient is suspected of having portal hypertension, which sign or symptom would be displayed?
When a patient is suspected of having portal hypertension, which sign or symptom would be displayed?
If a patient has Esophageal Varices, which of the following points is MOST important to consider?
If a patient has Esophageal Varices, which of the following points is MOST important to consider?
What is a known method of action required to contract Hep D?
What is a known method of action required to contract Hep D?
Which is a recommendation for acute viral hepatitis?
Which is a recommendation for acute viral hepatitis?
When approaching a case of MASLD, what should the doctor be looking for primarily?
When approaching a case of MASLD, what should the doctor be looking for primarily?
What sign or symptom is MOST likely related to portal hypertension, rather than declining liver function?
What sign or symptom is MOST likely related to portal hypertension, rather than declining liver function?
While dealing with Hep C infections, what is the percentage of chronic infections that occur as a result
While dealing with Hep C infections, what is the percentage of chronic infections that occur as a result
In treating Alcoholic Hepatitis, what is MOST important?
In treating Alcoholic Hepatitis, what is MOST important?
When testing to determine the source of a Hepatitis virus, what can the doctor order?
When testing to determine the source of a Hepatitis virus, what can the doctor order?
From a massage therapist's perspective, what should be initially discussed with a client that mentions their alcohol intake is high?
From a massage therapist's perspective, what should be initially discussed with a client that mentions their alcohol intake is high?
For individuals with chronic hepatitis, which action is recommended to screen for liver cancer?
For individuals with chronic hepatitis, which action is recommended to screen for liver cancer?
When dealing with a Hep B with Hep D infection, what does that typically mean?
When dealing with a Hep B with Hep D infection, what does that typically mean?
How does the transmission of Hepatitis C primarily occur?
How does the transmission of Hepatitis C primarily occur?
In patients with cirrhosis, what is a primary comfort measure to be taken during a session?
In patients with cirrhosis, what is a primary comfort measure to be taken during a session?
What pathophysiological process underlies the development of ascites in patients with cirrhosis?
What pathophysiological process underlies the development of ascites in patients with cirrhosis?
Which diagnostic finding is MOST indicative of the progression from steatosis to steatohepatitis in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)?
Which diagnostic finding is MOST indicative of the progression from steatosis to steatohepatitis in Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD)?
Which of the following explains why a patient with cirrhosis may develop splenomegaly?
Which of the following explains why a patient with cirrhosis may develop splenomegaly?
How does the pathophysiology of MASH increase the risk of hepatocellular carcinoma (HCC)?
How does the pathophysiology of MASH increase the risk of hepatocellular carcinoma (HCC)?
What is the underlying rationale for the use of lactulose in the management of hepatic encephalopathy?
What is the underlying rationale for the use of lactulose in the management of hepatic encephalopathy?
Which of the following best describes the 'two-hit' hypothesis in the context of Metabolic dysfunction-associated steatohepatitis (MASH)?
Which of the following best describes the 'two-hit' hypothesis in the context of Metabolic dysfunction-associated steatohepatitis (MASH)?
Why is it important for individuals with chronic hepatitis B to undergo regular screening for hepatocellular carcinoma (HCC)?
Why is it important for individuals with chronic hepatitis B to undergo regular screening for hepatocellular carcinoma (HCC)?
In the context of cirrhosis, which complication is most directly associated with a risk of life-threatening hemorrhage?
In the context of cirrhosis, which complication is most directly associated with a risk of life-threatening hemorrhage?
What is the rationale behind recommending a low-sodium diet to patients with cirrhosis and ascites?
What is the rationale behind recommending a low-sodium diet to patients with cirrhosis and ascites?
Which of the following histological findings is MOST suggestive of alcoholic hepatitis?
Which of the following histological findings is MOST suggestive of alcoholic hepatitis?
If a patient has Hepatitis B and Hepatitis D, what is the primary concern?
If a patient has Hepatitis B and Hepatitis D, what is the primary concern?
For a patient with cirrhosis, what massage considerations should a massage therapist be aware of?
For a patient with cirrhosis, what massage considerations should a massage therapist be aware of?
Which of these options are required to contract Hepatitis D?
Which of these options are required to contract Hepatitis D?
What typically happens after someone has Hepatitis A?
What typically happens after someone has Hepatitis A?
A client in their early 30s has been a heavy drinker for many years. They're now experiencing early symptoms of liver dysfunction. This client is MOST likely dealing with which disease?
A client in their early 30s has been a heavy drinker for many years. They're now experiencing early symptoms of liver dysfunction. This client is MOST likely dealing with which disease?
For most people with acute viral hepatitis, what is the typical treatment plan?
For most people with acute viral hepatitis, what is the typical treatment plan?
What happens if a person continues to drink alcohol when diagnosed with Alcoholic Hepatitis?
What happens if a person continues to drink alcohol when diagnosed with Alcoholic Hepatitis?
Following the convalescent stage of hepatitis B, what happens to a person's blood?
Following the convalescent stage of hepatitis B, what happens to a person's blood?
Which of the following is a risk factor for contracting Hepatitis C?
Which of the following is a risk factor for contracting Hepatitis C?
A patient presents with fatty liver, hepatocyte ballooning and lobular inflammation. Which condition corresponds with these symptoms?
A patient presents with fatty liver, hepatocyte ballooning and lobular inflammation. Which condition corresponds with these symptoms?
Flashcards
Cirrhosis
Cirrhosis
Irreversible replacement of normal liver tissue with non-functional scar tissue.
Portal hypertension
Portal hypertension
Abnormally high blood pressure in the branches of the portal vein, often leading to complications.
Esophageal varices
Esophageal varices
Engorged, tortuous varicose vessels in the lower esophagus that often appears secondary to cirrhosis.
Hepatic encephalopathy
Hepatic encephalopathy
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Jaundice
Jaundice
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Hepatitis
Hepatitis
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Alcoholic hepatitis
Alcoholic hepatitis
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Chronic Hepatitis
Chronic Hepatitis
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MASLD
MASLD
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Hepatocellular Carcinoma (HCC)
Hepatocellular Carcinoma (HCC)
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Cirrhosis Definition
Cirrhosis Definition
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Portal Hypertension Definition
Portal Hypertension Definition
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Esophageal Varices Definition
Esophageal Varices Definition
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Hepatic Encephalopathy Definition
Hepatic Encephalopathy Definition
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Jaundice Definition
Jaundice Definition
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Hepatitis Definition
Hepatitis Definition
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Alcoholic Hepatitis Definition
Alcoholic Hepatitis Definition
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Chronic Hepatitis Definition
Chronic Hepatitis Definition
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MASLD Definition
MASLD Definition
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Hepatocellular Carcinoma Definition
Hepatocellular Carcinoma Definition
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Hepatocellular Carcinoma
Hepatocellular Carcinoma
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Hepatocellular Carcinoma
Hepatocellular Carcinoma
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Hepatocellular Carcinoma
Hepatocellular Carcinoma
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Alcoholic Hepatitis (Etiology)
Alcoholic Hepatitis (Etiology)
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Hepatic Injury
Hepatic Injury
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Cirrhosis and Bile
Cirrhosis and Bile
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Cirrhosis Epidemiology
Cirrhosis Epidemiology
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Cirrhosis Prognosis
Cirrhosis Prognosis
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Cirrhosis Symptoms: Declining Liver
Cirrhosis Symptoms: Declining Liver
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Cirrhosis: Xanthomas
Cirrhosis: Xanthomas
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Cirrhosis: Other Signs
Cirrhosis: Other Signs
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Dupuytren's Contracture
Dupuytren's Contracture
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Cirrhosis Diagnosis
Cirrhosis Diagnosis
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Cirrhosis Treatment
Cirrhosis Treatment
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Portal Hypertension Symptoms
Portal Hypertension Symptoms
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Portal Hypertension Etiology
Portal Hypertension Etiology
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Esophageal Varices Symptoms
Esophageal Varices Symptoms
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HE Signs and Symptoms
HE Signs and Symptoms
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Hepatic Encephalopathy: Diagnosis
Hepatic Encephalopathy: Diagnosis
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Hepatic Encephalopathy: Treatment
Hepatic Encephalopathy: Treatment
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Acute Viral Hepatitis SSx
Acute Viral Hepatitis SSx
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Hepatitis Treatment Comparison
Hepatitis Treatment Comparison
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Hepatitis Acute Cycles
Hepatitis Acute Cycles
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Hep C spread
Hep C spread
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Hepatitis serious infection
Hepatitis serious infection
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Fatty Liver Treatment
Fatty Liver Treatment
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Appropriateness of Massage
Appropriateness of Massage
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Study Notes
Diseases of the Liver
- Lecture outline covers Hepatitis, MASLD (previously NAFLD), Cirrhosis, and Hepatocellular Carcinoma (HCC).
- Liver failure has been added to the list.
- Dr. Kevin Tipper, ND
Major Liver Diseases
- Conditions include various forms of hepatitis, metabolic dysfunction-associated steatotic liver disease, hepatocellular carcinoma and liver failure.
Broad Categories of Hepatic Injury
- Liver damage can lead to cirrhosis, portal hypertension, esophageal varices, and hepatic encephalopathy.
- Complications arise from liver disease due to these secondary complications.
Cirrhosis: Definition
- Cirrhosis involves irreversible replacement of normal liver tissue with non-functional scar tissue.
- This damage is typically irreversible.
Cirrhosis: Etiology
- The most common cause is alcoholic hepatitis with liver inflammation due to alcohol consumption.
- Caused by viral hepatitis specifically Hep B and Hep C.
- It is also caused by metabolic dysfunction-associated steatotic liver disease (MASLD).
Cirrhosis: Epidemiology
- Cirrhosis is twice as common in males.
- Autopsies in the US show that 5% of the population has cirrhosis.
- Causes 25,000 deaths per year in US.
Cirrhosis: Prognosis
- Without a transplant, patients usually die within 5 to 15 years after diagnosis.
- Death is usually due to complications of cirrhosis.
Cirrhosis: Complications
- Portal hypertension may lead to esophageal and rectal varices, ascites, kidney failure, and hepatic encephalopathy.
- Decreased bile production leads to decreased vitamin D absorption and possibly osteoporosis.
- Poor vitamin K absorption can lead to a tendency for bleeding.
- Splenomegaly can lead to platelets being trapped in spleen, which causes bleeding that can lead to anemia.
Cirrhosis: Signs and Symptoms
- Many patients may have no symptoms for several years.
- Symptoms can be related to declining liver function or portal hypertension
- Common symptoms include weakness, malaise, fatigue, weight loss, ascites, and loss of appetite.
- Declining liver function leads to reduced bile production, resulting in decreased absorption of fat and fat-soluble vitamins, and can cause greasy stool, fatigue, appetite loss, dark urine, generalized edema, and malabsorption.
- Portal hypertension symptoms include jaundice, ascites, hepatomegaly, splenomegaly, digital clubbing, caput medusae, spider telangiectasia, and small yellow nodules around the eyes.
Cirrhosis: Spider Talangiectasia
- Pathogenesis in cirrhosis is unclear, but possibly results from elevation in vascular endothelial growth factor, fibroblast growth factor, or an altered estrogen/testosterone ratio.
Cirrhosis: Digital Clubbing
- Pathogenesis is unclear, but is indicated by an elevated vascular endothelial growth factor or fibroblast growth factor, or an altered estrogen/testosterone.
Cirrhosis: Caput Medusae
- Swollen veins around the umbilicus happen due to portal hypertension.
Cirrhosis: Xanthelasma
- Xanthelasma is a benign yellow growth by the corners of the eyelids
- It includes cholesterol deposits under the skin to form mass.
- Pathogenesis: Dyslipidemia, altered lipoprotein profiles, altered fat metabolism, and association with metabolic disease.
Cirrhosis: Other Symptoms
- Sarcopenia, muscle atrophy, palmar erythema, gynecomastia, testicular atrophy, thinning of armpit hair, and Dupuytren's contracture can occur.
Cirrhosis: Dupuytren's Contracture
- Dupuytren's contracture is fibrosis of the palmar aponeurosis.
- Exact mechanisms linking cirrhosis and Dupuytren's contracture are not fully understood.
Cirrhosis: Diagnosis
- Diagnosis is based on history, symptoms, physical exam, and blood tests
- Liver feels nodular and firm during palpation.
- Requires advanced imaging like ultrasound or CT scan.
- Biopsy may be done to confirm.
- Blood tests will show elevated liver function tests, elevated bilirubin, decreased albumin, and signs of anemia.
- Blood work may be done to find cause like Hep B and C serology.
Cirrhosis: Treatment
- Eliminating alcohol is crucial, especially if the patient has alcoholic hepatitis.
- Improving diet and activity are important if caused by metabolic disease.
- Reviewing medications (Rx and OTC) and supplements with a GP.
- Diuretics and a low-sodium diet can help.
- Liver transplant if 80-90% of liver is destroyed.
Cirrhosis: Massage
- Cirrhosis has no contraindications.
- Consider using less pressure to avoid easy bruising.
- Consider the patient's overall comfort.
Portal Hypertension: Definition
- Abnormally high blood pressure in the branches of the portal vein is portal hypertension.
- Portal hypertension can cause an enlarged abdomen, abdominal discomfort, confusion, and internal bleeding.
- Most common cause is cirrhosis.
Portal Hypertension: Etiology
- Cirrhosis leads to scarring and decreased blood flow through the liver.
- Thrombosis in portal veins can be a cause
- Less common etiologies are parasitic infection called schistosomiasis and malignancy.
Portal Hypertension: Signs and Symptoms
- Portal hypertension itself does not cause symptoms, but creates consequences that do.
- Ascites, telangiectasia, caput medusae, esophageal varices with potential mass hematemesis, and splenomegaly can occur.
- Hepatic encephalopathy may cause drowsiness, confusion, and coma.
- Leads to can lead to gastrointestinal bleeding.
Portal Hypertension: Diagnosis
- Based on symptoms, history, and physical exam
- Confirmed with an ultrasound.
Portal Hypertension: Treatment
- Most cases are irreversible.
- Medications include beta blockers to reduce portal blood pressure.
- Managing complications include emergency treatments such as surgery to reduce bleeds and a bypass shunt between the portal venous system and general circulation.
Portal Hypertension: Massage
- No contraindications
- Any abdominal massage should be performed with light pressure.
- Consider using less pressure to avoid easy bruising and consider the patient's overall comfort.
Esophageal Varices: Definition
- Esophageal varices are engorged, tortuous, and fragile varicose vessels of the lower esophagus.
Esophageal Varices: Etiology
- Portal hypertension is a cause
- Retrograde flow into the lower esophageal vessels causes distention and leads to varices.
Esophageal Varices: Symptoms and Treatment
- Presents with mild to fatal hematemesis, black and tarry stool due to blood loss, and lightheadedness.
- Treatment includes betablockers to reduce blood pressure, banding off or injecting veins, vasopressin via I.V., transfusion to replace loss and it is a medical emergency.
Esophageal Varices: Massage
- Esophageal varices is a possible contraindication.
- It depends on severity of esophageal varices.
- Some cases may be a medical emergency.
Hepatic Encephalopathy: Definition
- Deterioration of brain function due to buildup of toxic substances normally removed by liver reaching the brain is known as.
- Ammonia, end product of normal protein breakdown, plays a large role.
Hepatic Encephalopathy: Etiology
- Portal hypertension can cause increased blood pressure in the portal vein, which lets blood bypass the liver.
- Liver failure is a cause
- Can be triggered by an alcohol binge, drug intake, or other liver stressors in individuals with longstanding liver disorders.
Hepatic Encephalopathy: Signs and Symptoms
- Decreased brain function, reduced alertness, and increased confusion occur
- In early stages subtle changes in logical thinking, judgement, mood, personality ,and behavior occur.
- In late stages, drowsiness, confusion, disorientation, asterixis, sluggish movements and speech are indicated.
- Uncommon symptoms: agitation, seizures.
- Eventual loss of consciousness and coma may develop.
Hepatic Encephalopathy: Diagnosis
- Based on symptoms, history, and physical exam.
- CT scan and EEG (electroencephalogram) can be used.
- Blood tests for liver function and presence of ammonia are typical.
Hepatic Encephalopathy: Treatment & Prognosis
- Treatment involves identifying and eliminating triggers
- Reducing protein intake and other dietary restrictions are part of treatment
- Lactulose sugar in diet helps reduce blood ammonia.
- Liver treatment may be required
- Prognosis: Reversible with complete recovery possible, though chronic liver failure predisposes one to future episodes. Ongoing therapy is typically needed. Fatal in > 50% of cases or acute hepatic encephalopathy, and 80% of people who fall into coma.
Jaundice: Definiton
- Yellowish appearance of the skin and whites of the eyes due to excess bilirubin circulating in the blood dissolving into subcutaneous fat
Jaundice: Etiology
- Prehepatic: Conditions impacting the blood’s rate of breakdown affect breaking down blood cells cause bilirubin to overflow into bodily tissues. For example, sickle cell anemia and thalassemia can be causes
- Intrahepatic: In Intrahepatic cases, the liver tissue becomes becomes not as effective, which makes it hard to correctly filter out bilirubin. Examples: hepatitis, cirrhosis, hepatocellular carcinoma
- Posthepatic: The bilirubin filtered from the blood fails to drain correctly, unable to enter digestive tracts and bile ducts. Examples: cholelithiasis, pancreatitis, pancreatic cancer
Jaundice: SIgns and Symptoms
- Yellow skin, sclera, and color inside the mouth
- Urine is dark or brown in color
- Clay and pale colored stools
- Itching and Irritation is common with jaundice
Jaundice: Massage
- Treatment indicated by cause, severity.
Hepatitis
- Inflammation of the liver from a variety of causes such as viral infections, heavy alcohol use, autoimmune disorders, drugs, or toxins.
- Types include viral and alcoholic.
- Alcohol consumption include over consumption of EtOH
- Both can lead to chronic hepatitis and liver inflammation.
Active Viral Hepatitis
- Liver infection due to one of the five hepatitis viruses A-E.
- Hepatitis A is the most common cause.
- Has a rapid onset with short duration
- Symptoms range from none to severe
- Includes N/V, poor appetite, fever, RUQ pain, and jaundice.
Comparing Types of Hepatitis
- Nonspecific treatment for A B and E, watch and wait.
- Specific Antiviral treatment for C and D
- Hepatitis C becomes chronic
- Hepatitis D can only be acquired through already having hep B
- Vaccines for A,B and D are available
- China's vaccines are neither offered in the U.S or Canada
Progressions of Viral Hepatitis
- Mild severity is the cause of A and C, Sometimes Unnoticed.
- Hep B ad E may become more severe
- Coinfections of B with D significantly increases the severity
Hepatitis Comparison
Feature | Hep A | Hep B | Hep C | Hep D | Hep E |
---|---|---|---|---|---|
Route | Fecal-Oral | Blood, body fluids | Blood | Blood | Fecal-Oral |
Incubation | 2-6 weeks | 40-180 days | |||
Chronic | No | Yes (5-7%) | Yes (75%) | Yes (increases chance if chronic B) | No |
Carrier | No | Yes | |||
Vaccine | Yes | Yes | No | No (only with Hep B vaccine) | No |
Severity | Mild | Mild-severe | Moderate | ||
Acute Symptoms | Common cause | Joint pain, urticaria in 10-20% of cases | Less likely |
Common Viral Hepatitis Symptoms
- Has a sudden onset, typically N/V, fever.
- Splenomegaly also possible
- Symptoms of B infections include joint pain along with urticaria
Progressive Symptoms
- As symptoms disappear, other symptoms may remain for approximately a month.
- May cause cholestasis and pale stool
- Progression is rare, although it may occur in Hep B infections
Viral Hepatitis: Diagnosis
- Positive symptoms may allude to common forms
- RUQ, tenderness/Hepatomegaly in nearly 50% of all active cases
- DDX from EtOH tests may influence Viral infections
Viral Hepatitis: Prevention
- Vaccines available for A and B
- Without B, D infections can not be present
- Washing hands
- No sharing
- Safe sex
Viral Hepatitis: Prognosis
- Typically treatment is not needed
- No need for dietary restrictions or vitamin supplementation
- Avoid Alcohol and Medications during liver function
- Normal ADL is possible until signs of jaundice goes away, even if LFT not done
- Typical clearing of A in 4-8 weeks
Hepatitis A: Transmission & Details
- Poor food hygiene in food handlers, childcare workers
- Shellfish contaminated in water
- Changes in Diapers, often in childcare centers
- Often contaminates through water, and can also spread through blood
Hepatitis A: Epidemiology
- Rare in Canada
- Between 2011-2015 there were approximately 236 cases of Hep. A
- Typically found in ages 30-59
- Possible in Sub-Saharan, South Asia, and North Africa
Hepatitis A: Symptoms and Prognosis
- Incubation last 2-6 weeks
- Can be ignored due to infections being unnoticed
- Fever, vomiting/nausea
- Symptoms are rare, but arth, renal failure and pancreatitis
- Recovery period consists of a few months
- No long-term symptoms
Hepatitis A: Prevention:
- Proper hand hygiene
- Avoid contaminating water
- Recommending TwinRix vaccinations
Hepatitis B: Transmission
- Transmission Through blood and bodily fluids
- Through blood
- Sexually
- Sharing needles
- Birth (Child birth vaginal or caesarean)
Hepatitis B: Epidemiology:
- Approximately 178 cases of acute infections in Canada
- More common with S.America, Asia and Africa
Hepatitis B: Signs & Symptoms
- Requires 40-180 days to incubate
- Similar ranges with symptoms, from mild to severe
- Choluria also common
- Possibility of joint pain and or Urticaria
- Serious Infections result in potential infection with Hepatitis D
Hepatitis B: Diagnosis
- Involves confirm blood tests
- Presence of antigen for HBsAg may indicate results
Hepatitis B: Treatment
- Most can resolve themself
- Between 5%-7% of neonates will continue symptoms
- A strong rate correlated with younger age
Hepatitis B: Carriers
- Approximately 10% have antigen present
- Those previously infected can be potential
- 70% with long term disease not being well
Hepatitis B: Phases
- Pre - Icteric (Days to weeks) = Mild fever, Vomiting,Anorexia, Muscle Pain
- Icteric : (1-2 Months)= May cause Jaundice,Hepatomegaly or tenderness
- Convalescent : may indicate a decline after many months
Hepatitis B: Prevention
- Recommended to those under 18
- Avoid sharing needles, always engage in safe sex and receive B immunoglobulin
Hepatitis C : Transmission
- Through blood primarily, usually sharing needles
- Uncommonly due to screens
- Pregnancy and Sex rarely
- For unknown reasons with those with Liver Disease, Hep.C is possible
Hepatitis C :Signs and Symptoms
- Symptoms appear unpredictably
- Usually indistinguishable from HBV but are less serve
Hepatitis C: Prognosis
- 75% result after chronic hepatitis
- Mild for decades
- Lead to Steaosis, CA, and Cirrhosis
- Small fraction in a long- term carrier state
Hepatitis C: Prevention
- No vaccines currently available
- Avoid dangerous habits primarily through sharing needles
Hepatitis D/E
- D infections can only show if B infections occurs
- Cause symptoms even death, but is severe
- Requires Fecal Oral Transmission, but commonly dangerous for those that are pregnant
Fulminant Hepatitis:
- A potential compilation after acute Hepatitis
- Can occur if the Hepatitis type is B,D, or E
- Often includes Edema, Encephalopathy GI Bleeds and Kid Failure
- In some instances the B,D, or E strain can progress and be life-threatening
Hepatitis: Massage
- Use only if symptoms indicate little to mild, other contraindicate.
- Must have 24 hours fever free before a therapy without the use of antipyretics
Alcoholic Hepatitis: Definition
- Liver inflammation due to long- term alcohol consumption
Alcoholic Hepatitis: Details
- Alcohol is an irritant and may negatively effect the liver - if it doesn't heal it may have negative implications
- Female individuals are at a higher risk
Heavy Drinking Limits.
- 1 drink is 14g of Alcohol
- It is indicated that you should consume < 3 drinks a week
Alcoholic Hepatitis: Epidemiology
- Normally in the ranges of 30-5,- years of age and typically most patients will be less than 60 years of age, most often with long- term drinking
- Most often, those with a history of daily heavy alcohol use(>100g daily)
Alcoholic Hepatitis: Pathologic Findings
- Histological examination, appearance looks fatty
Alcoholic Hepatitis: Common Symptoms
- Anorexia, Ascites, Jaundice, RUQ/ Epigastric Abdominal Pain, Tenderness when hepatomegaly occurs
Alcoholic Hepatitis: Details
- To have an affect, must be alcohol removal
- Damage done often results in kidney failure
Alcoholic Hepatitis: Massage Details
- Only recommended with mild causes
- Typically little to no general contraindications is needed
Chronic Hepatitis: Mass Notes
- Inflammation more then 6 months can be an Indicator
- Viruses, or some meds may be a cause
- Hep C is commonly responsible for long - term infections
- Use or overuse of certain drugs( e.g. Tylenol), Alcohol, or Metabolize factors are causes
Chronic Hepatitis: Common Complications
- Symptoms may include fevers , rare chances for Jaundice
- Common symptoms such as Liver Fail often include, cancer
Chronic Hepatitis: More notes
- Little Symptoms show up
- Hepatitis can lead to different out looks depending on the cause
- Chronic Heps will include CIRRHOSIS from 15-25%, those that are infected will be at risk
Chronic Hepatitis: Mass Notes
- With abnormal LFT, it may have a serious problem through abnormal symptoms
- Biopsy helps diagnosis that and helps further with determining issues
Chronic Hepatitis: Treatment
- Eliminate all substances that may effect you
- Those will hepatitis B are recommended for immunization for those closed will
- More severe infections typically require Transplant
MASLD definition
- Previously known as NAFLD
- Is Steatosis with no Alcohol involvement
- Often most cases are liver cases in US population, and an estimate of 25% of the adult population worldwide with NAFLD
MASH definition
- Associated with hepatic issues
- Progress may result, eventually leading to Cirrhosis
- Often combined with Metabolic Syndrome
MASH Common details
- Asymptotic often
- Often have Athero issues associated with diabetics, fat, and cirrhosis
- Hepatogellular can often cause high-death tolls
MSMD
- Cirrhosis: with liver issues
- Often combined with the other details listed in other lists
Metabolic Issues: Treatment
- Losing weight, reduce cholesterol, and medication, limiting drugs,
- Avoiding alcohol to have a long term effect
MASLD: Mass Details.
- Use only if symptoms indicate little to mild, other contraindicate.
Hepatocellular Mass Details
- Another name is Heptoma
- Caused by Cirrhosis
- Common symptoms to include, fatigue/abdominal pain and loss of weight
HCC: Symptoms
- Early symptoms abdominal pain, fever, weight loss and RUQ
- Individuals with Cirrhosis may have unexcepected increase in illness
- Rupture of tumor may cause abdominal pain shocks
HCC: Mass
- Blood tests
- Finding Liver Mass
- Biopsy
- Images to look for Liver Mass, this includes Advanced images(US, CT, MRI
- Blood tests
- PE (Palpable Liver Mass)
HCC: Prevent
- Hepatitis B shot
- Treat Hepatitis C
- Alcohol Treatment for causation
HCC: Common Treatment
- Surgery
- Radiation and Chemotherapy, with Tumor Embolization
HCC: Final Notes
- Long term Vague long term effects in prognosis
- 5 year survivor rate with 18% typically
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