Management of Cirrhosis-Related Complications

Self-StudyManagement of Cirrhosis-Related Complications

Management of Cirrhosis-Related Complications
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Management of Cirrhosis-Related Complications

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Core Competencies

Diagnosis and Management of Ascites

Topic
Learning Objectives
Background
Evaluation of Ascites
Analysis of Ascitic Fluid
Basic Management of Ascites
Management of Refractory Ascites
Complications Associated with Ascites
Summary Points

Recognition and Management of Spontaneous Bacterial Peritonitis

Topic
Learning Objectives
Background
Diagnosis of Spontaneous Bacterial Peritonitis
Treatment of Spontaneous Bacterial Peritonitis
Indications for Spontaneous Bacterial Peritonitis Prophylaxis
Regimens for Spontaneous Bacterial Peritonitis Prophylaxis
Summary Points

Screening for Varices and Prevention of Bleeding

Topic
Learning Objectives
Pathophysiology and Portal Dynamics
Diagnosing Clinically Significant Portal Hypertension and Predicting Varices
Management of Compensated Cirrhosis with Clinically Significant Portal Hypertension
Prophylaxis of Variceal Bleeding
Treatment of Acute Variceal Bleeding
Secondary Prophylaxis of Variceal Bleeding
Summary Points

Diagnosis and Management of Hepatic Encephalopathy

Topic
Learning Objectives
Background
Clinical Features
Diagnosis and Testing
Approach to the Management of Hepatic Encephalopathy
Medical Therapy for Overt Hepatic Encephalopathy
Summary Points

Referral for Liver Transplantation

Topic
Learning Objectives
Background
Indications for Liver Transplantation
Timing for Cirrhosis-Related Liver Transplantation
Contraindications to Liver Transplantation
Finding Information About Liver Transplant Centers
Transplantation Evaluation
Summary Points

Self-Study Module Progress Tracker - 4th Edition

Lesson 1Ascites
  • Provide a list of causes in the differential diagnosis of ascites
  • Diagnose ascites based on physical examination findings
  • Describe the appropriate technique for performing abdominal paracentesis
  • Summarize appropriate medical management and dietary recommendations for persons with ascites
  • Discuss ascites-associated complications and treatment
Lesson 2Spontaneous Bacterial
Peritonitis
  • Explain the diagnostic criteria for spontaneous bacterial peritonitis
  • Differentiate spontaneous bacterial peritonitis from secondary bacterial peritonitis
  • Select appropriate antimicrobial therapy for persons with spontaneous bacterial peritonitis
  • List indications for initiating primary and secondary bacterial peritonitis prophylaxis
  • Discuss appropriate regimens for primary and secondary bacterial peritonitis prophylaxis
Lesson 3Screening for Varices
and Prevention of Bleeding
  • Explain the basic pathogenesis of cirrhosis-related portal hypertension
  • Describe how to diagnose clinically-significant portal hypertension
  • Discuss the rationale and indications for variceal screening in persons with cirrhosis
  • Summarize recommendations for prophylaxis of variceal bleeding
  • List key aspects of managing acute variceal bleeding
Lesson 4Hepatic
Encephalopathy
  • List the clinical features of persons with hepatic encephalopathy
  • Describe specific diagnostic tests used to diagnose hepatic encephalopathy
  • Summarize the approach to management of persons with hepatic encephalopathy
  • Explain the rationale for using nonabsorbable disaccharides for the treatment of hepatic encephalopathy
  • Discuss the role of antimicrobial therapy for the treatment of hepatic encephalopathy
Lesson 5Referral for
Liver Transplantation
  • List the most common indications for cirrhosis-related liver transplantation
  • Discuss the timing of referral for liver transplantation in the United States
  • Use and interpret the Model for End-Stage Liver Disease (MELD) prognostic scoring system
  • Describe the relative contraindications for liver transplantation
  • Summarize the absolute contraindications for liver transplantation
Topic 1 
 
 
 
 
Topic 2 
 
 
 
 
Topic 3 
 
 
 
 
Topic 4 
 
 
 
 
Topic 5 
 
 
 
 
Topic 6 
 
 
 
 
Topic 7 
 
 
CE Quiz 
 
 
 
 

Self-Study Module Progress Tracker - 3rd Edition

3rd Edition. There is a newer edition of this Self-Study Module.
Lesson 1Ascites
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Describe the appropriate technique for performing abdominal paracentesis
  • Summarize appropriate medical management and dietary recommendations for persons with ascites
  • Discuss ascites-associated complications and treatment
Lesson 2Spontaneous Bacterial
Peritonitis
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Differentiate spontaneous bacterial peritonitis from secondary bacterial peritonitis
  • Select and utilize appropriate antimicrobial therapy for persons with spontaneous bacterial peritonitis
  • Explain the importance of distinguishing secondary bacterial peritonitis from spontaneous bacterial peritonitis
Lesson 3Screening for Varices
and Prevention of Bleeding
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Discuss the rationale for variceal screening in persons with cirrhosis
  • Identify individuals with cirrhosis who should receive primary prophylaxis against variceal bleeding
  • Use nonselective beta-blockers as prophylaxis against variceal bleeding when prophylaxis is indicated
Lesson 4Hepatic
Encephalopathy
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • List the clinical features of persons with hepatic encephalopathy
  • Summarize specific diagnostic tests used to diagnose hepatic encephalopathy
  • Use appropriate medical therapy for persons with hepatic encephalopathy
Lesson 5Referral for
Liver Transplantation
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Summarize the indications and timing for cirrhosis-related liver transplantation evaluation and referral
  • Use and interpret the Model for End-Stage Liver Disease (MELD) prognostic scoring system
  • Discuss the absolute and relative contradictions for liver transplantation
Topic 1 
 
 
 
 
Topic 2 
 
 
 
 
Topic 3 
 
 
 
 
Topic 4 
 
 
 
 
Topic 5 
 
 
 
 
Topic 6 
 
 
 
 
Topic 7 
 
CE Quiz 
 
 
 
 

Self-Study Module Progress Tracker - 2nd Edition

2nd Edition. There is a newer edition of this Self-Study Module.
Lesson 1Ascites
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Describe the appropriate technique for performing abdominal paracentesis
  • Summarize appropriate medical management and dietary recommendations for persons with ascites
  • Discuss ascites-associated complications and treatment
Lesson 2Spontaneous Bacterial
Peritonitis
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Differentiate spontaneous bacterial peritonitis from secondary bacterial peritonitis
  • Select and utilize appropriate antimicrobial therapy for persons with spontaneous bacterial peritonitis
  • Explain the importance of distinguishing secondary bacterial peritonitis from spontaneous bacterial peritonitis
Lesson 3Screening for Varices
and Prevention of Bleeding
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Discuss the rationale for variceal screening in persons with cirrhosis
  • Identify individuals with cirrhosis who should receive primary prophylaxis against variceal bleeding
  • Use nonselective beta-blockers as prophylaxis against variceal bleeding when prophylaxis is indicated
Lesson 4Hepatic
Encephalopathy
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • List the clinical features of persons with hepatic encephalopathy
  • Summarize specific diagnostic tests used to diagnose hepatic encephalopathy
  • Use appropriate medical therapy for persons with hepatic encephalopathy
Lesson 5Referral for
Liver Transplantation
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Summarize the indications and timing for cirrhosis-related liver transplantation evaluation and referral
  • Use and interpret the Model for End-Stage Liver Disease (MELD) prognostic scoring system
  • Discuss the absolute and relative contradictions for liver transplantation
Topic 1 
 
 
 
 
Topic 2 
 
 
 
 
Topic 3 
 
 
 
 
Topic 4 
 
 
 
 
Topic 5 
 
 
 
 
Topic 6 
 
 
 
 
Topic 7 
 
CE Quiz 
 
 
 
 

Self-Study Module Progress Tracker - 1st Edition

1st Edition. There is a newer edition of this Self-Study Module.
Lesson 1Ascites
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Describe the appropriate technique for performing abdominal paracentesis
  • Summarize appropriate medical management and dietary recommendations for persons with ascites
  • Discuss ascites-associated complications and treatment
Lesson 2Spontaneous Bacterial
Peritonitis
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Differentiate spontaneous bacterial peritonitis from secondary bacterial peritonitis
  • Select and utilize appropriate antimicrobial therapy for persons with spontaneous bacterial peritonitis
  • Explain the importance of distinguishing secondary bacterial peritonitis from spontaneous bacterial peritonitis
Lesson 3Screening for Varices
and Prevention of Bleeding
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Discuss the rationale for variceal screening in persons with cirrhosis
  • Identify individuals with cirrhosis who should receive primary prophylaxis against variceal bleeding
  • Use nonselective beta-blockers as prophylaxis against variceal bleeding when prophylaxis is indicated
Lesson 4Hepatic
Encephalopathy
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • List the clinical features of persons with hepatic encephalopathy
  • Summarize specific diagnostic tests used to diagnose hepatic encephalopathy
  • Use appropriate medical therapy for persons with hepatic encephalopathy
Lesson 5Referral for
Liver Transplantation
3rd Edition. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).
  • Summarize the indications and timing for cirrhosis-related liver transplantation evaluation and referral
  • Use and interpret the Model for End-Stage Liver Disease (MELD) prognostic scoring system
  • Discuss the absolute and relative contradictions for liver transplantation
Topic 1 
 
 
 
 
Topic 2 
 
 
 
 
Topic 3 
 
 
 
 
Topic 4 
 
 
 
 
Topic 5 
 
 
 
 
Topic 6 
 
 
 
 
Topic 7 
 
CE Quiz 
 
 
 
 

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