#8 Chronic Hepatitis B (Part 2) Management: 5 Pearls segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 31 January 2018

⏱️ 19 minutes

🔗️ Recording | iTunes | RSS

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Summary

Quiz yourself on the following 5 Pearls on Chronic Hepatitis B (HBV) Management! * What is the focused history, physical and lab workup in a patient with chronic HBV? (1:40) * What is the best imaging to evaluate for intermediate stages of liver fibrosis? (4:06) * What scoring tools can you use to estimate fibrosis and what are their limitations? * What factors do you use to assess which patients get treatment? (7:41) * What drugs are available for HBV treatment and how do you choose? (11:18) * Which chronic HBV patient should be screened for HCC, and how often? (14:45) For full show notes: https://www.coreimpodcast.com/2018/01/31/5-pearls-on-chronic-hepatitis-b-2/ (https://www.coreimpodcast.com/2018/01/31/5-pearls-on-chronic-hepatitis-b-2/) Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

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0:00.0	This is the core I Am Five Pearls podcast brought to you by clinical
0:15.7	correlations. Bringing you high yield Evan and Space Pearls. Today we're going over part two of
0:22.2	chronic hepatitis B on further work up and
0:25.8	management. All right let's get started with the five questions on the pearls
0:29.7	we'll be covering. Test yourself by pausing after each of the five questions.
0:34.0	Remember, the more you test yourself, the deeper your learning gains.
0:40.0	Pro 1. Initial evaluation of Chronic Hep B Infection
0:44.0	What makes up a focused history, physical, and lab workup
0:47.6	in evaluating a patient with chronic Hep B?
0:50.0	Pearl II.
0:53.4	Imaging Work Up.
0:54.9	What is the best imaging to evaluate for intermediate stages of liver fibrosis?
0:59.7	And what are some screening tools you can use to estimate fibrosis if you don't have
1:03.8	imaging available to you. What are the limitations of these screening tools?
1:07.5	Pearl 3. Treatment for Chronic Hep B.
1:13.0	What factors do you use to assess which patients warrant treatment?
1:17.0	Pearl 4. Treatment options.
1:22.0	What drugs are available for hepatitis B treatment?
1:25.7	And how do you choose?
1:27.0	Pearl 5, screening for
1:35.0	heropatosellular carcinoma, what chronic hepe be patients should be screened for her
1:37.0	teletcellular carcinoma
	...

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