Hepatology

Preface, vii
Acknowledgements, viii
How to use this book, ix
Normal values, x
List of abbreviations, xi
Part 1 Basics, 1
Basic science, 1
Approach to the patient, 20
Part 2 Cases, 39
Patients with acute liver disease
Case 1 A 19-year-old man presenting with jaundice, 39
Case 2 A 25-year-old man with nausea, vomiting andjaundice, 42
Case 3 A 45-year-old woman presenting with severe rightupper quadrant pain and jaundice, 46
Case 4 A 72-year-old man with painless jaundice, 52
Case 5 A 23-year-old woman with vomiting and epigastricpain, 57
Case 6 A 4-week-old baby with jaundice and failure tothrive, 63
Case 7 A 24-year-old woman with HIV and tuberculosisdevelops jaundice, 68
Case 8 Abnormal liver function tests in a collapsedpatient, 71
Case 9 Abnormal liver function tests in a pregnant woman,74
Case 10 A 27-year-old woman with abdominal pain anddistension, 77
Patients with chronic liver disease
Case 11 A 40-year-old woman with lethargy and pruritus,81
Case 12 A 25-year-old woman with malaise and elevatedliver enzymes, 87
Case 13 Deranged liver function tests in a patient withulcerative colitis, 90
Case 14 Fatigue and deranged liver function tests in apatient with haemophilia, 94
Case 15 A 34-year-old man from Hong Kong with jaundiceand vomiting, 99
Case 16 Acute deterioration in a 21-year-old man withchronic hepatitis B virus infection, 106
Case 17 A 53-year-old man with a history of high alcoholintake, 108
Case 18 A 57-year-old man with diabetes and elevatedalanine aminotransferase, 114
Case 19 A 42-year-old man with shortness of breath andabnormal liver function tests, 120
Case 20 A 58-year-old man with diabetes and abnormalliver function tests, 123
Case 21 A 16-year-old boy with cognitive deterioration,ataxia and abnormal liver function tests, 126
Patients with deterioration in chronic liverdisease
Case 22 A 43-year-old man with a large gastrointestinalbleed, 129
Case 23 A 58-year-old woman with a distended abdomen,138
Case 24 A 67-year-old man with cirrhosis and confusion,142
Case 25 A 47-year-old woman suddenly presents withvariceal haemorrhage, 146
Patients with abnormal radiological imaging
Case 26 A 37-year-old woman with abnormal liverultrasound, 150
Case 27 A 72-year-old man with right upper quadrant painand fever, 155
Case 28 A 52-year-old man with diarrhoea and a livermass, 159
Case 29 A 69-year-old man with a liver mass, 161
Liver transplantation
Case 30 A 56-year-old man with abnormal liver functiontests 4 weeks after liver transplantation, 164
Part 3 Self-assessment, 167
MCQs, 167
EMQs, 174
SAQs, 179
Answers, 181
Index of cases by diagnosis, 195
Index, 197