Liver Seminar for Health Plan Case Managers

1
Liver Seminar for Health Plan Case Managers

• September 23, 2008
• October 2, 2008

2
Goal A Broad Overview

• Acute and Chronic
• Common and Rare

3
Introduction

• Diseases of the liver and biliary tree are the
  tenth leading cause of death in the United States
• 6,500 liver transplants each year
• In 2004, 42 were for Hepatitis C Virus (19 in
  1992)
• 20 of liver transplants were due to Nonalcoholic
  Fatty Liver Disease (NAFLD)

4
Introduction

• Hepatocellular carcinoma is one of the fastest
  growing cancers in the United States
• Cirrhosis usually comes first, but not always
• Preventable
• Rarely curable

5
Topics

• The digestive system
• Anatomy, physiology, function
• Liver function tests
• Acute liver failure
• Acetaminophen toxicity
• Chronic liver failure and its complications
• Portal hypertension

6
Topics

• Chronic liver disease
• Hepatitis C virus
• Alcoholic liver disease
• Non alcoholic fatty liver disease
• Acute hepatitis A
• Drug induced liver injury

7
Topics

• The cholestatic liver diseases
• Primary biliary cirrhosis
• Primary sclerosing cholangitis
• Cholestasis of pregnancy
• Inherited and pediatric liver diseases
• Prevention
• Chronic care

8
Case Discussions

• Can be anything you wish
• Hepatitis C
• Hepatitis B
• Primary biliary cirrhosis
• Primary sclerosing cholangitis
• Genetic/inherited liver disorders
• Alcohol related liver disease
• Questions and answers

9
Summary

• Resources
• Acronyms and abbreviations
• General Information for people with liver disease
• Recommended readings
• References