Q&A Color Review of Hepatobiliary Medicine

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The Thieme Q&A Specialty Reviews come in a question and answer format: thought provoking questions on the right and detailed answers on the following left page, with superb color illustrations and photographs throughout.

Hepatobiliary medicine has seen major scientific advances in viral hepatitis, haemochromatosis, and autoimmune/liver disease helped by imaging advances in MRI and CT.

This text features 200 cases from an internationally renowned team covering the whole spectrum of liver disease. Focusing on the clinical aspects and underpinned by basic science, it is augmented by 240 clinical photographs, images, charts, and graphs. The problem-oriented, self-assessment lends itself to continuing professional development.

An appealing guide for young doctors and residents preparing for board examinations!


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Page 37 - Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover?
Page 122 - The latter may be related to the common clinical observation that excessive consumption of alcoholic beverages frequently aggravates or precipitates gouty attacks (134).
Page 102 - Indeed, the Centers for Disease Control and Prevention and the American Academy of Pediatrics have...
Page 122 - NADH/NAD ratio reflects itself in an increased lactate/ pyruvate ratio that results in hyperlactacidemia (104, 107) because of both decreased utilization and enhanced production of lactate by the liver. The hyperlactacidemia contributes to acidosis and also reduces the capacity of the kidney to excrete uric acid, leading to secondary hyperuricemia (104).
Page 110 - The treatment of fulminant hepatitis where prognostic scores predict a fatal outcome is liver transplantation. In patients who survive hepatic coma caused by acute hepatitis A infection there is no evidence of fibrosis or cirrhosis.
Page 122 - During the oxidation of ethanol to acetaldehyde and then acetate, hydrogen is transferred to the cofactor nicotinamide adenine dinucleotide (NAD), converting it to the reduced form NADH.
Page 16 - Women appear to be more susceptible than men to the toxic effects of alcohol.
Page 110 - This form of the disease has an excellent prognosis although a case can be made for cutting short the jaundice, and relieving the severe itching, with a short course of oral steroids.

About the author (2003)

John Radcliffe Hospital, Oxford, United Kingdom

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