Hepatology: Clinical Cases Uncovered

Kathryn Nash is a Consultant Hepatologist at Southampton General Hospital Indra Neil Guha is Clinical Associate Professor in Hepatology at University of Nottingham

• Preface, vii Acknowledgements, viiiHow to use this book, ixNormal values, xList of abbreviations, xiPart 1 Basics, 1Basic science, 1Approach to the patient, 20Part 2 Cases, 39Patients with acute liver diseaseCase 1 A 19-year-old man presenting with jaundice, 39Case 2 A 25-year-old man with nausea, vomiting and jaundice, 42Case 3 A 45-year-old woman presenting with severe right upper quadrant pain and jaundice, 46Case 4 A 72-year-old man with painless jaundice, 52Case 5 A 23-year-old woman with vomiting and epigastric pain, 57Case 6 A 4-week-old baby with jaundice and failure to thrive, 63Case 7 A 24-year-old woman with HIV and tuberculosis develops jaundice, 68Case 8 Abnormal liver function tests in a collapsed patient, 71Case 9 Abnormal liver function tests in a pregnant woman, 74Case 10 A 27-year-old woman with abdominal pain and distension, 77Patients with chronic liver diseaseCase 11 A 40-year-old woman with lethargy and pruritus, 81Case 12 A 25-year-old woman with malaise and elevated liver enzymes, 87Case 13 Deranged liver function tests in a patient with ulcerative colitis, 90Case 14 Fatigue and deranged liver function tests in a patient with haemophilia, 94Case 15 A 34-year-old man from Hong Kong with jaundice and vomiting, 99Case 16 Acute deterioration in a 21-year-old man with chronic hepatitis B virus infection, 106Case 17 A 53-year-old man with a history of high alcohol intake, 108Case 18 A 57-year-old man with diabetes and elevated alanine aminotransferase, 114Case 19 A 42-year-old man with shortness of breath and abnormal liver function tests, 120Case 20 A 58-year-old man with diabetes and abnormal liver function tests, 123Case 21 A 16-year-old boy with cognitive deterioration, ataxia and abnormal liver function tests, 126Patients with deterioration in chronic liver diseaseCase 22 A 43-year-old man with a large gastrointestinal bleed, 129Case 23 A 58-year-old woman with a distended abdomen, 138Case 24 A 67-year-old man with cirrhosis and confusion, 142Case 25 A 47-year-old woman suddenly presents with variceal haemorrhage, 146Patients with abnormal radiological imagingCase 26 A 37-year-old woman with abnormal liver ultrasound, 150Case 27 A 72-year-old man with right upper quadrant pain and fever, 155Case 28 A 52-year-old man with diarrhoea and a liver mass, 159Case 29 A 69-year-old man with a liver mass, 161Liver transplantationCase 30 A 56-year-old man with abnormal liver function tests 4 weeks after liver transplantation, 164Part 3 Self-assessment, 167MCQs, 167EMQs, 174SAQs, 179Answers, 181Index of cases by diagnosis, 195Index, 197