Cirrhosis. Finally. Take your liver game to the next level with tips from @liverprof, Scott Matherly MD, Assistant Professor of Medicine at Virginia Commonwealth University. Topics include: exam findings in cirrhosis, interpreting liver function tests, incidental cirrhosis on imaging, fatty liver disease, steatohepatitis, hep c, shear wave elastography, screening for varices and hepatocellular carcinoma, pathophysiology, and lifestyle measures for initial management. This episode is sponsored for CME-MOC credit by the American College of Physicians. ACP members can claim free credit at acponline.org/curbsiders (goes live at 9am on release date).
Full show notes available at http://thecurbsiders.com/podcast
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Credits:
Written by: Cyrus Askin MD
CME questions by: Cyrus Askin MD
Produced by: Cyrus Askin MD and Matthew Watto MD
Hosts: Cyrus Askin MD, Matthew Watto MD, Stuart Brigham MD, Paul Williams MD
Guest: Scott Matherly MD
Time Stamps
00:00 Announcements
00:45 Disclaimer
01:19 Intro to the show and our guest
04:15 Guest one liner, books recommendations, and career advice
09:04 Cyrus’ pick of the week
10:14 Clinical case of abnormal liver functions tests
11:12 Seven hand findings of cirrhosis
13:28 Should we screen for NASH?
15:28 Incidental finding of cirrhosis on imaging
17:47 Next steps after diagnosis of cirrhosis
20:36 Non-invasive scoring systems to predict cirrhosis
23:55 Liver biopsy
25:33 Shear wave elastography
29:10 Recap of what we learned so far
31:58 Three ways cirrhosis can kill you
33:56 Counseling patients about cirrhosis
36:05 Management of NASH and early cirrhosis
42:55 Screening for varices and hepatocellular carcinoma
46:28 Outro
Tags: cirrhosis, liver, function, shear, wave, elastography, fibroscan, imaging, fatty, liver, disease, nash, nafld, steatohepatitis, hepatitis, hep c, hcv, screening, varices, hepatocellular, carcinoma, pathophysiology, lifestyle, management, assistant, care, doctor, education, family, FOAM, FOAMim, FOAMed, health, hospitalist, hospital, internal, internist, meded, medical, medicine, nurse, practitioner, professional, primary, physician, resident, student
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