Nurse Practitioners in Primary Care
II | Latest - Wilkes
Question:
Cirrhosis
Answer:
fibrotic replacement of liver tissue d/t chronic liver injury
Question:
Cirrhosis common causes
Answer:
Alcohol use disorder
Nonalcoholic fatty liver dz
Hepatitis C
,Question:
Cirrhosis caused by
Answer:
-chronic inflammation - hepatic myofibroblast and macrophage activation
-increased collagen deposition - disruption of liver architecture
Question:
Cirrhosis results
Answer:
Intrahepatic resistance
Portal hypertension
Hepatic insufficiency
Question:
Cirrhosis stages
Answer:
-compensated - prognosis >12 years
-decompensated - prognosis <1.5 years
Driven by portal HTN 10 or greater
,Question:
Cirrhosis complications
Answer:
-variceal hemorrhage
-ascites
-hepatic encephalopathy
-sarcopenia, renal dysfunction, HCC (ca)
Question:
Portal HTN
Answer:
hepatic-portal vein pressure gradient 10 or greater
causes cirrhosis complications
Question:
Cirrhosis diagnostics
Answer:
Serum-based fibrosis scores (FIB-4 index)
Elastograph, fibro scan - assesses liver stiffness
Imaging
Liver bx
, Question:
Cirrhosis management
Answer:
Treat underlying etiology
Prevent decompensation
Screen for complications
Watch for varices or cancer development
Liver transplant for advanced cases
Question:
Cirrhosis goals
Answer:
Treat underlying cause
Manage complications
Improve symptoms