00:00
I want to talk about
in the United States,
What are the most common causes that
a patient will develop cirrhosis?
Well, the most common causes
in the United States are
chronic Hepatitis B, hepatitis C
and alcohol induced liver disease.
00:16
So this is excessive
drinking of alcohol.
00:19
So you might just want to write
yourself a note on the side there,
You would say "alcohol
and hepatitis".
00:25
So make sure you're right that in the
margin so that will stand out in your mind.
00:29
Now, any chronic liver disease
including non-alcoholic
fatty liver disease
can cause cirrhosis so we want to
make sure that you've got that clear.
00:38
But our most common causes are
hepatitis and excessive alcohol.
00:43
Now, there's three main
categories of risk factors
for cirrhosis that I
want you to keep in mind.
00:49
Now this relates to
the United States.
00:51
The first one is
excessive alcohol,
if the patient has an
excessive alcohol problem,
then they're really increasing
the risk for cirrhosis.
00:59
So there's lifestyle factor
that we need to intervene
to help them understand the importance of
Liver Health and limiting their alcohol.
01:07
The next one in the United
States is excessive weight.
01:10
Now excessive weight
puts the patient at risk
for non-alcoholic
fatty liver disease and
that can turn into cirrhosis.
01:19
Another common factor
is viral hepatitis.
01:22
Now not everyone with chronic
hepatitis will develop cirrhosis,
but it is one of the world's
leading causes of liver disease.
01:29
So you're going to Be looking at
three of these major categories,
excessive alcohol,
excessive weight that leads
to fatty liver disease,
we're talking about non-alcoholic
fatty liver disease,
or if the patient has
chronic hepatitis.
01:43
So if I have a patient
who's had chronic hepatitis
is extremely overweight
and drinks excessive alcohol.
01:51
That's a recipe for disaster.
01:53
So you're going to have to be very
gentle and careful how you approach
patient education with a patient
with all three of the risk factors.