Module 3. Management of Cirrhosis-Related Complications

Module 3 Overview


Iris W. Liou, MD
Assistant Professor of Medicine
Division of Gastroenterology
University of Washington School of MedicineDisclosures
David H. Spach, MD
Professor of Medicine
Division of Infectious Diseases
University of WashingtonDisclosures


Intended Audience and Content Covered: This module is intended for clinicians who provide long-term management of persons with hepatitis C virus (HCV) infection.  Medical providers intended for this module include Primary care physicians, Advanced Registered Nurse Practitioners, Physician Assistants, Hospitalists, Infectious Diseases Specials, Gastroenterologists, and Hepatologists. The content covered includes the recognition of cirrhosis-related complications, including the recognition, basic management, and prevention of ascites, spontaneous bacterial peritonitis, varices, and encephalopathy.  This module also addresses when to refer a patient to a hepatologist and when to refer for liver transplantation evaluation.

(1) Recognize and manage ascites in patients with cirrhosis.
(2) Demonstrate an understanding of the manifestations and treatment of spontaneous bacterial peritonitis.
(3) Provide screening for varices in patients with cirrhosis and when indicated variceal bleeding prophylaxis. 
(4) Establish competency to Identify and manage hepatic encephalopathy.
(5) Appropriately refer patients for liver transplantation evaluation when indicated.

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of the University of Alabama School of Medicine and The Seattle STD/HIV Prevention Training Center (PTC) at the University of Washington. The University of Alabama School of Medicine is accredited by the ACCME to provide continuing medical education for physicians. The University of Alabama School of Medicine designates this online enduring material for a maximum of 1 AMA PRA Category 1 Credit ™ per lesson. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
1.0 contact hour will be awarded for each lesson. Completion of all activities within a lesson, the lesson quiz and evaluation are required.
  • Continuing Nursing Education at the University of Washington School of Nursing (UWCNE) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
  • UWCNE is approved by the California Board of Registered Nursing, Provider #07218, for 1 contact hour per lesson.

Lesson Plan

Module 3 Self Assessment

Since you've received 80% or better on this quiz, you may claim continuing education credit.

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