Increasing burden of liver disease in community

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0.5 mins

Educational Activities (EA)
These are activities that expand general practice knowledge, skills and attitudes, related to your scope of practice.

RP
0.5 mins

Reviewing Performance (RP)
These are activities that require reflection on feedback about your work.

MO
0 mins

Measuring Outcomes (MO)
These are activities that use your work data to ensure quality results.

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Description

In this episode:

  • GPs must give all patients with abnormal LFTs a positive diagnosis
  • Use ALT levels of 19 for women and 30 for men and investigate all who are higher
  • Triage at the GP level consists of calculators stratifying cirrhosis risk (links attached) where negative or very low numbers are of greatest value
  • Those with moderate to higher risks should have degree of fibrosis assessed with a fibroscan
  • A fibroscan result > 8.5 should alert us to refer to a hepatologist or liver clinic, equates to moderate fibrosis
  • Uncomplicated MAFLD compels us to treat all CVD risk factors aggressively

 

Host: Dr David Lim, GP

Guest: A/Prof Simone Strasser, Hepatologist

Total time: 46 mins

 

Recommended resources:

Examples of calculators for:

 

Last Updated: 6 May, 2021

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