Please enable JavaScript.

Coggle requires JavaScript to display documents.

Liver Transplant (Examination (Significant Negatives (Evidence of…

- - - - Evidence of CLD
      - Pigmentation: HH
      - Tattoos and needle marks: Hep B/C
    - - Cushingoid
      - Skin tumours: AKs, SCC (100x ↑ risk), BCC and MM
      - Gingival hypertrophy: ciclosporin
  - - - DDX
        
        Liver transplant
        
        Segmental resection
        
        Whipples’: pancreaticoduodenectomy
        
        Hepatobiliary surgery
- - - - FBC: infection
      - U+E: ciclosporin can → renal impairment
      - LFTs: assess graft function
      - Clotting
      - Fasting glucose: tacrolimus and steroids → DM
      - Drug levels: ciclosporin, tacrolimus
  - - - Hep A, B
      - Paracetamol overdose
    - - 80% 1-yr survival
      - 70% 5-yr survival
    - - Tacrolimus / ciclosporin
      - Azathioprine
      - Prednisolone ± withdrawal @ 3mo**
  - - - EtOH
      - Sexual Hx, IVDU, transfusions
      - FH
      - Other AI disease: e.g. DM, thyroid
      - DH
    - - Cadaveric or live segmental
      - Any complications
    - - Acute rejection: fever, graft pain
      - Immunosuppression
        
        Infection: e.g. CMV pneumonitis
        
        Skin Ca