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- Module 3 Overview
Management of Cirrhosis-Related Complications - 0%Lesson 1
Diagnosis and Management of AscitesActivities- 0%Lesson 2
Recognition and Management of Spontaneous Bacterial PeritonitisActivities- 0%Lesson 3
Screening for Varices and Prevention of BleedingManagement of Cirrhosis-Related Complications Overview4th Edition
Module Core Competency
Apply Evidence-Based Recommendations to Management of Cirrhosis-Related Complications in Persons with HCV Infection
Target Audience
Addresses the diagnosis and management of complications that may arise in person with chronic HCV infection and cirrhosis, including ascites, spontaneous bacterial peritonitis, varicies, hepatic encephalopathy, and referral for liver transplantation.Editors
Jennifer Price, MD, PhD,Jennifer Price, MD, PhD
Professor of Medicine
Director, UCSF Viral Hepatitis Center
Division of GI and Hepatology
University of California, San FranciscoDisclosures:- Grants, Research support to Institution: Abbvie, Genentech, Vir Biotechnology, Zydus Pharmaceuticals
H. Nina Kim, MD, MScH. Nina Kim, MD, MSc
Professor of Medicine
Division of Allergy & Infectious Diseases
University of WashingtonDisclosures: NoneFree CNE/CME
Available in theManagement of Cirrhosis-Related Complications Self-Study Module
Module Lessons
1Lesson 1 Diagnosis and Management of Ascites
- Learning Objectives
- 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
- Quick ReferenceDiagnosis and Management of Ascites Core Concepts
2Lesson 2 Recognition and Management of Spontaneous Bacterial Peritonitis
- Learning Objectives
- 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
- Quick ReferenceRecognition and Management of Spontaneous Bacterial Peritonitis Core Concepts
- Activity 2B.Role of Albumin in Treatment of SBP
3Lesson 3 Screening for Varices and Prevention of Bleeding
- Learning Objectives
- 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
- Quick ReferenceScreening for Varices and Prevention of Bleeding Core Concepts
- 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
- Activity 3B.Portal Hypertension and Approach to Gastric Varices
4Lesson 4 Diagnosis and Management of Hepatic Encephalopathy
- Learning Objectives
- 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
- Quick ReferenceDiagnosis and Management of Hepatic Encephalopathy Core Concepts
5Lesson 5 Referral for Liver Transplantation
- Learning Objectives
- 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
- Quick ReferenceReferral for Liver Transplantation Core Concepts
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CME provided byUniversity of Alabama Birmingham
CNE provided byUniversity of Washington School of Nursing
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