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J Clin Outcomes Manage
2008 Nov;15(11):554-563
Primary care management of the patient with cirrhosis
Ingram KD, Zaman A
Educational Needs Addressed Cirrhosis of the liver is a leading cause of death in the United States, and the incidence of cirrhosis is expected to rise in the coming decades. Given these data, it is imperative that primary care providers are cognizant of the clinical findings associated with cirrhosis and the preventive health measures that may reduce morbidity and mortality among patients with chronic liver disease. Lifestyle modification and therapeutic interventions against other illnesses are important components of the role that primary care providers play in management of the patient with cirrhosis. They also must recognize the appropriate timing for referral and be ready to collaborate in the management of the often complex medical needs of their patients with end-stage liver disease. Educational Objectives After participating in this CME activity, primary care physicians should be able to 1. State the causes of cirrhosis 2. Name the common physical examination findings in cirrhosis 3. Describe primary care interventions and lifestyle modifications recommended for patients with cirrhosis 4. Review the complications of cirrhosis and approach to their management
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