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EQA

Liver EQA circulation O






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EQA Meeting Discussion for circulation O  pdf document symbol

Case number 182

Female 54 years

Cirrhosis





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Case number 183

Female 64 years

Cirrhotic. No significant alcohol consumption history. Obese. ?drug induced liver disease (on Methotrexate for psoriasis). ?non-alcoholic steatohepatitis (NASH) .





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Case number 184

Female 21 years

Acutely unwell, cholestatic jaundice and coagulopathy.





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Case number 185

Female 30 years

Unwell approximately 4 weeks following return from holiday. Took herbal remedies. Also has been on Minocyclin, Bilirubin 436, alkaline phosphatase 259, aspartate transaminase 338, gamma glutamyl transferase 19, International Normalised Ratio (INR) 0.89, immunoglobulins normal, autoantibodies - antinuclear antibody (ANA) 1: 60, smooth muscle antibody (SMA) 1: 160, ?autoimmune, ?secondary to Minocyclin





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Case number 186

Female 62 years

Diffusely abnormal liver on ultrasound sound scan. History of diabetes.





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Case number 187

Sex unknown age unknown

On Methotrexate for psoriasis. Has received 2.13 gms in total. Increased procollagen III. Also on Amlodipine and Bisoprolol. Raised alkaline phosphatase. Gamma glutamyl (GT) upper limit of normal. ?safe to continue medication.





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Case number 188

Female 41 years

acute admission with perforated duodenal ulcer. One week of jaundice. History of depression and alcohol excess. Van Gieson stain shows bridging fibrous septa with nodules and pericellular fibrosis.





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Case number 189

Male 48 years

Previous alcohol++. Hepatitis C positive. Aspartate aminotransferase 93.





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Case number 190

Male 25 years

Liver Transplanted for primary sclerosing cholangitis.





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Case number 191

Male 69 years

psoriasis and arthritis. On Methotrexate, raised alanine transaminase





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Case number 192

Sex unknown age unknown

renal patient, Hepatitis C positive on transplant list. Van Gieson shows portal bridging fibrosis. Perls positive in portal tracts and Kupffer cells.





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Case number 193

Male 58 years

non-alcoholic steatohepatitis. Orthotopic liver transplant performed. No history of metabolic disease or other relevant history





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