Cirrhosis Assessment
- Degeneration and Destruction of Liver Cells
- Jaundice
- Fatigue
- Palmar Erythema
- Spider Angiomas
- Hepatosplenomegaly
- Edema
- Gynecomastia
- Change in LOC
Cirrhosis Interventions
- Maintain Nutrition
- Paracentesis
- Drug Therapy
- Endoscopic Band Ligation or Sclerotherapy
- Balloon Tamponade
- Transjugular Intrahepatic Portosystemic Shunt (TIPS)
- Lactulose
- Antibiotics
Complications of Cirrhosis
- Portal Hypertension
- Ascites
- Esophageal Varices
- Coagulation Defects
- Portal-Systemic Encephalopathy
- Hepatorenal Syndrome
Hepatitis A (HAV) Assessment
- Fecal-Oral
- Ingestion of Contaminated Food or Water
- 4 Weeks
- Fever
- General Malaise
- Hepatomegaly
- Self-Limiting
- Proper Hand Washing
Hepatitis B (HBV) Assessment
- Bodily Fluids
- Blood Transmission
- People Who Use IV Drugs
- Variable 1-6 Months
- Fever
- Nausea and Vomiting
- Hepatomegaly
- Cirrhosis
- Hepatocellular Carcinoma
- Vaccination
Hepatitis C (HCV) Assessment
- Blood Transmission
- High Risk Sex (rare)
- IV Drug Users
- 7 Weeks
- Cirrhosis
- Barrier Protection
Nonalcoholic Fatty Liver Disease
- Fat Infiltration of Hepatocytes in Absence of Alcohol Consumption
- Obesity
- Hyperlipidemia
- Type II Diabetes
- Often Found Incidentally
- Elevated Liver Enzymes
- Ultrasound
- Weight Loss
- Abstinence From Alcohol
Alpha 1 Antitrypsin Deficiency
- Decreased Alpha Anti Trypsin
- Increased Elastase Activity
- Decreased Elastic Tissue
- Misfolded Protein Aggregates
- PAS+ Globules
- Panacinar Emphysema
- Dyspnea
- Cirrhosis
- Hepatocellular Carcinoma
Autoimmune Hepatitis
- Chronic Inflammatory Disease
- Most Common in Females
- Asymptomatic
- Fatigue
- Nausea
- Pruritus
- Antinuclear antibody (ANA)
- Anti-smooth Muscle
- Anti-Liver/Kidney Microsomal-1 Antibodies
- Increased AST/ALT
- Portal and Periportal Lymphoplasmacytic Infiltrate
- Prednisone
- Azathioprine