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Alcoholic Hepatitis

This is a very common cause of liver injury. It is caused by excessive alcohol intake. Typically there will be steatosis of the liver. In this pathological change, fat globules begin to accumulate in the cytoplasm of liver cells. this can be pretty harmless, and as a result, is not very specific for predicting if the liver will develop cirrhosis. - free medical student revision notes
almost 8 years ago
Foo20151013 2023 1yay1i5?1444774184

Consultantitis - Part 1

consultant NOUN a person who provides expert advice professionally: he acted as campaign consultant to the president [OFTEN AS MODIFIER] British a hospital doctor of senior rank within a specific field: a consultant paediatrician -itis SUFFIX forming names of inflammatory diseases: cystitis, hepatitis (Origin - from Greek feminine form of adjectives ending in -it?s (combined with nosos 'disease' implied) ) You may not be surprised to hear that the way in which I recently heard the term 'consultantitis' used cannot be understood to mean 'inflammation of the senior hospital doctor'. Although, I wish it was. Professionalism, compassion, transparency, teamwork and communication - all terms that appear to be used with an increasing regularity within the NHS. These are concepts that are not merely taught but preached to medical students today. Why? Well it is nit merely the work of a heavily publicised inquiry into a foundation trust, neither is it the upshot of the medical profession's own Voldemort - he who must not be named (except I will name him - Harold Shipman). Is it then an attempt to heal the wounds within our national health service from within? I hope so. Yet, there are countless more 'isms' and other terms being muttered under the breath of healthcare professionals all over the country. 'Consultantitis' is one that fills me with sadness for one reason in particular: it suggests that those at the top are at the core of some of the problems. Ponder over that for a while, I intend to explain myself further in my next blog post. To be continued****.  
Chantal Cox-George
almost 8 years ago

What is the most likely diagnosis?

Female patient 19 years old came to outpatient clinic with goitre, type 1 DM since one month, and hepatosplenomegally in ultrasound. Hepatitis markers are negative. What is the most likely diagnosis? That's the case which I was asked today!  
Mohammad Hamouda
almost 9 years ago

Could these results indicate hepatitis?

Could these results indicate hepatitis? White cell count - 22 x 109/L (4-11) C-reactive protein (CRP)- 256 mg/L (<10) Serum alkaline phosphatase - 178U/L (45-105) Serum gamma glutamyl tranferase - 437 U/L (<50) Serum aspartate aminotransferase - 297 U/L (1-31) Serum total bilirubin - 10 µmol/L (1-22) Serum amylase - 2018 U/L (60-180) Serum urea - 6.7 mmol/L (2.5-7.5) Serum creatinine - 98 µmol/l (60-110) Raised white cell count and CRP indicate inflammation and liver-function tests are abnormal (except bilirubin). Would abnormal ALP, AST & GGT indicate hepatitis or does a normal bilirubin indicate normal breakdown of red cells & therefore normal liver function? Though my real problem here is I know that these are liver function tests, but not WHY they are liver function tests (and therefore how else abnormal results could occur...) Cheers.  
b d
about 9 years ago