GHAPPcast Part 2: Diagnosis and Management

In this episode of GHAPPcast, Patrick Horne, a nurse practitioner at the University of Florida, and Jordan Mayberry, a physician assistant at UT Southwestern, discuss the diagnosis and management of cirrhosis. They highlight key diagnostic tools including lab tests (liver enzymes, albumin, bilirubin, INR, platelet count), physical exams (e.g., signs of decompensation), and imaging techniques (ultrasound, CT). They also discuss the role of liver biopsy, noting its decreasing use due to advancements in non-invasive tests like fibro scan, elastography, and MRE. The conversation also covers the monitoring of complications in cirrhosis, such as ascites, jaundice, and varices, and emphasizes patient education on symptoms to watch for, as well as lifestyle modifications like limiting alcohol and maintaining a healthy diet to prevent further liver damage.