Hepatology
- The bias of word choice and the interpretation of laboratory tests
Words matter. Calling ALT and AST “liver function tests” can lead to premature diagnosis of liver disease.
- Palmoplantar exanthema and liver dysfunction
The patient admitted to having had unprotected sex with a female sex worker.
- Liver enzymes: No trivial elevations, even if asymptomatic
All persistent elevations of liver enzymes need a methodical evaluation and an appropriate working diagnosis.
- What is the hepatitis B vaccination regimen in chronic kidney disease?
For those with advanced chronic kidney disease, the authors recommend a higher dose, more doses, or both.
- Bleeding esophageal varices: Who should receive a shunt?
A transjugular intrahepatic portosystemic shunt can prevent repeated variceal bleeding and control refractory ascites.
- Update on viral hepatitis in pregnancy
Indications for treatment may be different from those in the general population. New treatments are available.
- Which patients with nonalcoholic fatty liver disease should undergo liver biopsy?
Patients should undergo biopsy to guide management and prognosis if suspected of having steatohepatitis or fibrosis.
- Another complication of cirrhosis
A patient with cirrhosis presents with acute abdominal pain and shock.
- Air leakage in multiple compartments after endoscopy
An attempt to cannulate the common bile duct led to abdominal pain and distention and crepitus of the right chest wall.