Core Module

Cirrhosis

Introduction

This resource outlines the background, aetiology, diagnosis, investigations and management of cirrhosis. Students should be encouraged to use systems to approach aetiology (eg. surgical sieve), investigation and management.

Content Contributors:

Author: Dr David Medveczky

CONTENT APPROVAL: Dr Glenn Hawken
EDITOR: Dr Sahani Jayawardane

Version History Version
Version 1 – June 2021

  • It requires 1 hour preparation.

  • It can be taught in 1.5 hours


Teaching approach

As with all modules, familiarise yourself with the NPMT principles.

session learning objectives:

  • Define cirrhosis including the difference between compensated vs decompensated cirrhosis

  • Outline the aetiology of cirrhosis by identifying the common causes and using surgical sieve to systematically create a differential list

  • Recognize that cirrhosis is definitively diagnosed via biopsy, but often is able to be diagnosed via a constellation of history, clinical signs + investigation findings

  • Become familiar with 2 prognostic scoring systems for cirrhosis – Child Pugh and MELD scores

  • Outline the treatment goals for cirrhosis including prevention of complications

Tips & Tricks on running an effective session:

  • Highlight the difference between compensated and decompensated cirrhosis and difference in prognosis

  • Encourage the use of surgical sieve to systematically identify the more uncommon causes of cirrhosis eg. VITAMIN CDEF

  • Highlight the importance of clinical exam for cirrhosis diagnosis, because symptoms in absence of decompensation are often absent/non-specific – Talley and O’Connor has an excellent guide

  • Encourage an systematic approach to investigations and treatment

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