LEARNING OBJECTIVES :
KNOWLEDGE - Students should know:
- The approach to the patient with clinical jaundice.
- The five serologic types of hepatitis (A, B, C, D, and E), their primary mode of transmission, that only B, C, and D can culminate in chronic hepatitis.
- Active and passive immunization is available for hepatitis A and B only.
- The common complications of cirrhosis and treatment of these.
SKILLS - Students should be able to:
- Obtain and record an accurate history in the patient with suspected liver disease.
- Perform an accurate physical examination in the patient with suspected liver disease; palpate for hepatosplenomegaly and appreciate the extrahepatic findings in chronic liver disease such as spider angiomata, gynecomastia, ascites, testicular atrophy, etc.
- Generate a differential diagnosis in the jaundiced patient.
- Develop a treatment plan for patients with chronic liver disease.
ATTITUDES AND PROFESSIONAL BEHAVIORS:
- Students should be able to recognize the impact of chronic liver disease on the patient's life and the need for close follow up so that complications can be recognized and treated promptly.
RECOMMENDED READINGS :
- Yamada, Tadataka. Handbook of Gastroenterology . 2000, Chap 16 (The Medicine Education Office, 7604, has a copy of this reference.)
- Screening for Hepatitis C Virus Infe c tion : Re c ommendations from the U.S. Preventive Servi c es Task For c e Ann Intern Med , Mar 2004; 140: I-62.
- Steven K. Herrine Approa c h to the Patient with C hroni c Hepatitis C Virus Infe c tion
Ann Intern Med , May 2002; 136: 747 - 757.