Details

Clinical Dilemmas in Viral Liver Disease


Clinical Dilemmas in Viral Liver Disease


1. Aufl.

von: Graham R. Foster, K Rajender Reddy

72,99 €

Verlag: Wiley-Blackwell
Format: PDF
Veröffentl.: 22.09.2011
ISBN/EAN: 9781444319606
Sprache: englisch
Anzahl Seiten: 272

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Beschreibungen

<i>Clinical Dilemmas in Viral Liver Disease</i> is a practical up-to-date handbook providing answers to the questions and challenges that arise in day-to-day practice. <p>Each short chapter addresses a different topic and provides evidence-based guidance on subjects ranging from optimizing current management through to special management problems and novel treatments.</p> <p>This book is suitable for all medical professionals involved in the care of patients with viral liver disease: established and trainee hepatologists, pediatric hepatologists, pathologists, radiologists, transplant surgeons and nurse specialists</p>
Investigating the liver <p>Non-invasive markers of fibrosis - useful or useless?</p> <p>Liver biopsy in HCV with easy to treat disease - should we bother?</p> <p>The inactive carrier - what tests should we do for HBeAg negative patients with minimal HBV DNA and near normal LFTs?</p> <p>Screening for HCC in patients with viral cirrhosis - is ultrasound enough ?</p> <p>HBV pre-treatment sequencing. Prudent precaution or unnecessary luxury?</p> <p>Genomic investigations in viral hepatitis - likely to help or hinder?</p> <p>Today's therapies</p> <p>i) HCV<br /> How should HCV Genotype 1 Non-responders be managed?</p> <p>How should HCV Genotype 1 patients who relapse or breakthrough be managed?</p> <p>How should HCV Genotype 2/3 Non-responders be managed?</p> <p>How should HCV Genotype 2/3 patients who relapse or breakthrough be managed?</p> <p>How should we treat acute HCV infection?</p> <p>How should we treat HCV in patients with red cell dyscrasias?</p> <p>How should we treat HCV in dialysis patients?</p> <p>How should we treat HCV in patients with a renal transplant?</p> <p>How should we treat HCV in psychotic patients?</p> <p>What management strategies can we use for morbid obesity and HCV?</p> <p>What management strategies are appropriate for Cytopenias and hepatitis C? </p> <p>How should patients with multiple HCV genotypes be managed?</p> <p>How should we treat HCV in injecting drug users?</p> <p>How should we treat HIC and HCV/HBV?</p> <p>How should we treat HCV, anti LKM antibodies and autoimmune disorders?</p> <p>How should we manage an easy to treat virus in difficult patients? -HCV in obese cirrhotics with genotype 3</p> <p>How should we treat HCV in children?</p> <p>Controlling symptoms in chronic HCV ON AND OFF TREATMENT - does anything work ?</p> <p>Complementary therapies in chronic HCV - exploitation or something to offer ?</p> <p>HCV in the post liver transplant patient: what options do we have?</p> <p>How should we manage viral hepatitis in bone marrow transplant patients?</p> <p>ii) HBV<br /> What's the best way to manage acute HBV?</p> <p>How should we manage HBeAg positive patients with near normal LFTs?</p> <p>How should we manage HBeAg negative patients with minimal changes on liver biopsy?</p> <p>HBV combination therapy ab initio or add in regimes?</p> <p>How should we manage HBV infection in children?</p> <p>HBV and the second pregnancy - what should we do when the first child has failed to respond to vaccination?</p> <p>How should HBV in surgeons be managed?</p> <p>What can we do about HBV and the poorly compliant patient?</p> <p>How can we manage acute liver failure and HBV?</p> <p>High risk needlestick injuries in vaccine failures?</p> <p>How best to manage HBV in the immunocompromised patient?</p> <p>What can we do in Lamivudine and Adefovir resistance?</p> <p>How do we manage HBV following unsuccessful interferon therapy?</p> <p>How do we manage co-infection with HBV and HCV?</p> <p>iii) HDV</p> <p>HDV</p> <p>Clinical set up</p> <p>What is the role of the nurse specialist?</p> <p>Non specialist management of viral liver disease - cost effective or foolish cost cutting?</p> <p>The future</p> <p>Clinical trial design in chronic HCV - with or without PegIFN and ribavirin?</p> <p>Protease and polymerase inhibitors for HCV</p> <p>HCV vaccines - coming soon?</p> <p>HBV - new nucleotides and nucleosides - can we expect any more?</p> <p>HBV novel drugs: what's in the pipeline?</p> <p>HBV - therapeutic vaccines - hope or hype ?</p> <p>Novel interferons - is there life in the old dog yet?</p> <p>On-going controversies</p> <p>i) HBV therapy<br /> Is Interferon a valuable first line therapy for HBeAg positive HBV?</p> <p>Should nucleosides always be used first in HBeAg positive HBV?</p> <p>ii) HCV</p> <p>Will most patients with HCV die from their disease?</p>
<b>Graham R Foster PhD FRCP</b> <p>Professor of Hepatology, Queen Marys University of London, Blizard Institute of Cell & Molecular Science, The Royal London Hospital, London, UK</p> <p><b>K. Rajender Reddy MD, FACP, FACG, FRCP</b></p> <p>Professor of Medicine, Professor of  Medicine  in Surgery, Director of Hepatology, Medical Director of Liver Transplantation, University of Pennsylvania, PA, USA</p>
<i>Clinical Dilemmas in Viral Liver Disease</i> is a practical up-to-date handbook providing answers to the questions and challenges that arise in day-to-day practice. <p>Each short chapter addresses a different topic and provides evidence-based guidance on subjects ranging from optimizing current management through to special management problems and novel treatments.</p> <p>This book is suitable for all medical professionals involved in the care of patients with viral liver disease: established and trainee hepatologists, pediatric hepatologists, pathologists, radiologists, transplant surgeons and nurse specialists</p>

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