PBL 4 session 3

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PBL 4 session 3 by Mind Map: PBL 4 session 3

1. Step 9

1.1. Review session 2

1.2. mechanism flow chart

1.3. 20 minutes

2. Step 10

2.1. Management

2.1.1. Goals resolve the symptoms slow the progression prevent and treat complication

2.1.2. alcohol absitence from alcohol pharmacological is controversial? alcohol withdrwal diazepam 20 mg Thiamin hydration corticosteriods for severe cases not a first-line patient improves after 6-12 mo after the complete cessation Rehabilitation family support should be reffered to phcyctery group therapy

2.1.3. cirrhosis for ascites diuretics plan for weight loss is 0.5 kg\day IV albumin or theraputic paracentesis might work HCC follow-up every 6 mo

2.1.4. hepatitis B interferon contraindicated in case of advanced cirrohsis entecavir vaccination HAV influnza pnumoccoci

2.1.5. Nutrition Thiamine supplemntation high calories and protein diet low salt diet helps in ascites Vitamin C Vit. D and calcium to prevent osteoprosis Zinc improves appetite

2.1.6. Liver transplant should stop alcohol for 6 mo contraindication cardiovascular and pulmonary diseases 5-year survival rate more than 80 %

2.1.7. Follow up and monitor regulary US annually

2.2. Prevention

2.2.1. primary limiting alcohol consumption vaccination for hepatitis viruses avoidance of hepatitis transmitting behaviors

2.2.2. secondary blood donors screening screen for health care providers

2.2.3. tertiary prevent the complications NSAIDs and hepatotoxic drugs

2.3. 60 minutes

3. step 11

3.1. Review and evaluate

3.2. Group members

3.3. Chairman

3.4. Scribe

3.5. Tutor

3.6. Material

3.7. 10 minutes