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Cirrhosis, Pediatric

Rima Fawaz, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Cirrhosis is the end stage of progressive hepatic necrosis, fibrosis, and regenerative nodule formation that may occur as a result of many different liver diseases.

  • Results in distort...

DIAGNOSIS

HISTORY

Based on the varying etiologies, one should elicit pertinent historical features characteristic of specific problems: 
  • Exposure to infectious hepatitis, antecedent viral illnesses

  • Expos...

TREATMENT

GENERAL MEASURES

If significant splenomegaly, prescribe spleen guard and avoidance of contact sports/activities, which could increase risk abdominal trauma. 

MEDICATION

First Line

  • Fat-soluble vi...

ONGOING CARE

DIET

  • Malnutrition is common in chronic liver diseases because of several metabolic derangements, as well as fat malabsorption, anorexia, and increased energy requirements.

  • Adequate caloric ...

ADDITIONAL READING

  • Albilllos A, Garcia-Tsao G. Classification of cirrhosis: the clinical use of HVPG measurements. Dis Markers.  2011;31(3):121–128. [View Abstract on OvidInsights]

  • Feldstein AE, C...

CODES

ICD9

  • 571.5 Cirrhosis of liver without mention of alcohol

  • 571.6 Biliary cirrhosis

  • 751.61 Biliary atresia

ICD10

  • K74.60 Unspecified cirrhosis of liver

  • K74.5 Biliary cirrhosis, unspecified

  • Q44.2 Atresia of...

FAQ

  • Q: Will my child with cystic fibrosis develop cirrhosis?

  • A: The medical literature suggests a 5–10% incidence of cirrhosis in children with cystic fibrosis. Children with cystic fibrosis liver dise...

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