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Acute Hepatitis Including Acute Liver Failure

Acute Hepatitis Including Acute Liver Failure - Virtual Pathology at ...

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<strong>Acute</strong> <strong>Liver</strong> Injury<br />

Establishing the Aetiology<br />

Imaging<br />

• ultrasound<br />

‣ liver size and texture<br />

‣ spleen size<br />

‣ ascites<br />

‣ oedematous gall bladder<br />

‣ infiltration<br />

• ? CT scan<br />

Biopsy<br />

• how will the histology influence management?<br />

• problems<br />

• bleeding<br />

• cerebral oedema<br />

• misinterpretation of histology (by the pathologist)<br />

• clinician over-reliance on histological diagnosis<br />

• delays definitive treatment

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