Liver disease Objectives

Liver disease Objectives - Contrast the alcohol content of...

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LESSON: LIVER DISEASE Assigned Reading: Nelms: chap. 18, pp 509-539 (Diseases of the Hepatobiliary: Liver, Gallbladder, Exocrine Pancreas Suggested Reading: Krenitsky: Nutrition for Patients with Hepatic Failure Walker: Alcohol and the Liver Merck Manual: chapter 26 (Cirrhosis) http://www.merck.com/mmpe/sec03/ch026/ch026c.html Handouts: Normal Liver Function and Abnormalities Associated with Disease Liver Function Tests Enzyme Elevations in Common Pathological Conditions Alcohol Abuse Nutritional Treatment for End Stage Liver Disease Potential Vitamin/Mineral Disorders Blackboard: Child-Pugh Score Potentially Hepatotoxic Herbal Supplements 1. Describe the major functions of the liver and review the pathways by which blood and bile flow into and out of the liver. 2. Identify common liver function tests used in diagnosing liver. 3.
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Unformatted text preview: Contrast the alcohol content of distilled spirits, beer and wine. Given the volume and percent alcohol or proof of various alcoholic beverages, calculate the grams alcohol and/or kcal content of each. 4. Discuss the presentation (symptoms), etiology (causes) and pathophysiology (mechanisms) of: a. steatosis (fatty liver) b. hepatitis c. cirrhosis 5. Identify primary causes of malnutrition in liver disease patients and discuss medical nutrition therapy for cirrhosis. 6. Discuss the pathophysiology, manifestations and treatment of complications of cirrhosis: a. portal hypertension b. esophageal varices c. ascites 7. Describe the ammonia hypothesis for etiology of hepatic encephalopathy including the role of increased serum ammonia and altered BCAA/AAA ratio. Discuss medical and nutritional treatment of hepatic encephalopathy....
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