February 15, 2010

Causes of Liver Cirrhosis Mnemonic

Causes of Liver Cirrhosis Mnemonic

A - Alfa 1 antitrypsin deficiency
B - Budd Chiary Syndrome - Hepatitis B Virus - Biliary cirrhosis - Bilharzia
C - Hepatitis C Virus - Cystic fibrosis - copper overload
D - Drugs
E - Ethanol
F - Fe overload
G - Glycogen storage disease


and while we are at it, lets review the complications:

  • Bruising and bleeding due to decreased production of coagulation factors.
  • Jaundice due to decreased processing of bilirubin.
  • Itching (pruritus) due to bile salts products deposited in the skin.
  • Hepatic encephalopathy.
  • Sensitivity to medication due to decreased metabolism of the active compounds.
  • Hepatocellular carcinoma
  • Portal hypertension
  • Ascites
  • Esophageal varices
  • Immune system dysfunction, leading to infection.
  • Hepatorenal syndrome - insufficient blood supply to the kidneys, causing acute renal failure.
  • Hepatopulmonary syndrome, leading to cyanosis and dyspnea (shortness of breath), characteristically worse on sitting up.



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