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Advanced Liver Disease Case Studies

These cases were presented at the VA Advanced Liver Disease Resource Training Programs and illustrate a number of areas that are actively being researched.
Contents
Treatment
Cirrhosis Management
Hepatocellular Carcinoma

Treatment

bulletCase Study 1:
He has prior psychiatric issues but a very low viral load: A case for shorter duration of treatment? (June 2006)
bulletCase Study 2:
A patient with cirrhosis: Is it too late to treat? (June 2006)
bulletCase Study 3:
He has hepatitis C compensated cirrhosis with nonmetastatic lung cancer: Would you treat? (June 2006)
bulletCase Study 4:
A patient with compensated cirrhosis, diabetes, bipolar disorder, and alcohol relapses: Would you retreat? Would you use beta-blockers for prophylaxis of variceal bleeding? (June 2007)

Cirrhosis Management

bulletCase Study 1:
A decompensated cirrhotic with HIV/HCV coinfection: What can we do and what can't we do? (June 2006)
bulletCase Study 2:
The role of alcohol: What are the acute and chronic effects in alcoholic hepatitis vs hepatitis C? (June 2006)
bulletCase Study 3:
Complications of cirrhosis: What are the main issues involving antibiotics, diuretics, and lactulose? (June 2006)
bulletCase Study 4:
Hepatitis C and MELD 12: How often should lab values be monitored, and does comorbid hemosiderosis exclude this patient from transplant? (June 2007)

Hepatocellular Carcinoma

bulletCase Study 1:
When is it necessary to perform a biopsy on a liver lesion to confirm hepatocellular carcinoma? (June 2006)
bulletCase Study 2:
A case of HCC at late presentation: What are the controversies over screening HCV patients for HCC in order to detect early and treat? (June 2006)
bulletCase Study 3:
Aggressive HCC: Is surveillance ever enough? (June 2007)
bulletCase Study 4:
The Problems with AFP Testing: A Case of AFP Level Rising to 800 µg/L, with No Detectable Mass
Related Resources
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Hepatitis Web Study
Interactive, case-based modules related to the clinical care of persons with viral hepatitis, from the University of Washington.