Liver Disease: Management and Care of

Patients - 6KNIN337
Level: 6
Credits: 15

Module leader: Adam Riedlinger

Email: adam.riedlinger@kcl.ac.uk

Module deputy: TBC

____________________________________________________________________

This handbook must be read in conjunction with module information provided on KEATS, the
King’s E-Learning And Teaching Service. You will be given access to KEATS on enrolment.
Important information relating to assessment and related regulations can be found in the
Postgraduate Programme Handbook, available on KEATS and via the Student Services Centre.

This handbook can also be provided in alternative formats (such as large print) upon request to
asc@kcl.ac.uk.

1
Contents

Module overview .......................................................................................................... 4

Module aim ............................................................................................................... 4

Learning outcomes ................................................................................................... 4
Teaching arrangements ............................................................................................ 4
Submitting coursework ............................................................................................ 5
Assessment criteria................................................................................................... 5
Formative assessment .............................................................................................. 5
Summative assessment............................................................................................. 5
Results and resubmissions for coursework .............................................................. 6
Learning outcomes and resources ............................................................................... 8

General reference ..................................................................................................... 8

Day 1 ............................................................................................................................. 8

Session 1 – Course Introduction, Ice Breaker and Quiz ........................................... 8

Session 2 – Chronic Liver Disease; Setting the Scene.............................................. 8
Session 3 – The Effect of Chronic Liver Disease on other Body Systems
(Respiratory and Cardiovascular) ............................................................................ 9
Session 4 – Understanding and Assessing a Patient’s Liver Function and
Dispelling the Myths about Haemostasis ................................................................. 9
Day 2............................................................................................................................. 10

Session 1 – Portal Hypertension and the Management of a Patient with a

Variceal Haemorrhage.............................................................................................. 10
Session 2 – Ascites and Management ...................................................................... 10
Session 3 – Acute Kidney Injury and Hepatorenal Syndrome in Chronic
Liver Disease............................................................................................................. 11
Session 4 – Nutrition in chronic liver disease .......................................................... 11
Day 3............................................................................................................................. 12

Session 1 – Hepatic Encephalopathy and Management in Chronic Liver Disease .. 12

Session 2 – Acute pancreatitis ................................................................................. 12
Session 3 – Viral Hepatitis ...................................................................................... 13
Session 4 – Assignment Workshop .......................................................................... 13
Day 4 ............................................................................................................................ 14

Session 1 – Hepatocellular, Hepatobiliary and Pancreatic Carcinomas .................. 14

Session 2 – Overview and Management of Alcoholic Related Liver Disease ........... 14
Session 3 – The Jaundiced Patient ........................................................................... 15
Session 4 – Non-Alcoholic Fatty Liver Disease ........................................................ 15
Session 5 – Primary Biliary Cholangitis and Primary Sclerosing Cholangitis ......... 15
Day 5............................................................................................................................. 16

2
 Session 1 – Acute Liver Failure ................................................................................ 16
Session 2 – Introduction to Immunosuppression for the Post-transplant Patient . 16
Session 3 – Liver Transplant Assessment for Patients with Chronic Liver Disease 16
Module evaluation........................................................................................................ 17

Action from previous evaluations............................................................................. 17

Timetable...................................................................................................................... 18

3
Module overview
This module forms part of the BSc Nursing Studies. The module contributes to your programme of
study by providing an overview of the current evidence base surrounding the diagnosis &
treatment of common liver diseases.

The module can also be taken as a freestanding module.

Module aim
This module will enable practitioners to develop their knowledge base in caring for patients with
liver disease. The focus will predominately be on chronic liver disease, although the course will
provide an overview of acute liver failure and transplantation.

Learning outcomes
The learning outcomes of this course meet some of the nine liver care competencies as set out by the
Royal College of Nursing, NHS Liver Care and the Department of Health in the 'Caring for people
with liver disease: a competence framework for nursing' (2013).

1. Analyse and apply the evidence base that underpins the medical and nursing management of
patients with liver disorders, both in a Hepatology or general setting.

2. Appraise the knowledge and skills needed for assessment planning, delivery and evaluation
of care for patients with liver disease
3. Appraise and evaluate the contribution of nursing and other professional groups in the
management and delivery of effective care to patients with liver disease
4. Analyse the factors influencing health care promotion for patients with liver disease
5. Examine the factors which determine the provision of health care resources taking into
account the importance of cost, efficiency, quality and resources available

Teaching arrangements
The educational approach is adult student centred, which builds on your experience as a qualified
practitioner. You will experience a wide variety of teaching and learning strategies:

• Lecture and discussion

• Group work
• Tutorials
• Guided study
• Quiz
• Independent study
• Case study exploration
• E-learning

4
Submitting coursework
For this module you are assessed by Adam Riedlinger. All assessments are submitted online via
TurnItIn (through the KEATS site)

Assessment criteria
Essay — 2,000 words. This constitutes 100% of the overall grade.

You will demonstrate an achievement of the course learning outcomes by writing an assignment
addressing either a liver disease or a complication of liver disease as identified in a patient-based
case study.

Formative assessment

Students are advised to seek tutorial support from the course lecturer. This should be a student led
discussion focusing on the students’ essay. The student should provide a plan in which the key
themes are identified along with relevant literature using the bullet points below.
• Which patient case study have you chosen?
• What disease/complication aspect will you focus on?
• Identify the key references which you will use to support the pathophysiology/management
of the chosen aspects
• Is the evidence clear? Are there any opposing views? How does it relate to your practice?

Summative assessment

• Your assignment must be in a structured essay format, but sub headings may be used. It
should include an introduction, main body and conclusion
• Critically appraise the management of either the chosen liver disease or complication of liver
disease which may be carried out to address the patients’ health care needs, this must
include a critical appraisal of the nurses’ role and nursing practice in relation to the
identified management
• Critically analyse the evidence-based literature in relation to both the patients problem,
interventions and nursing management
• Make recommendations for future nursing practice in relation to your analysis of the
interventions and nursing management of your identified complication
• Your assignment needs to be appropriately referenced using the JAN referencing system
(please see post-registration handbook for guidance).

5
Coursework submission are provided on the modules KEATS site. It is essential that you use your
candidate number on all assignments/examinations. Your candidate number, which will begin with
X for the academic year 2016/17, will be available via Student Records on the King’s Intranet
approximately one month after you enrol.

If you are unable to submit your work by the deadline please refer to the information in your
programme handbook on “mitigating circumstances”. If you require further support in these
circumstances you are advised to contact KCLSU.

Submission date for coursework: 18 July 2017

Resubmission: 17 October 2017

Late submissions will be accepted for 24 hours following the submission date. All work submitted
late will be marked as normal but will be capped at the pass mark for the module. If your assignment
is a hard copy please ensure you date stamp it and submit it to the submission room G15 James
Clerk Maxwell Building. If your assignment is submitted electronically through TurnItIn,
information about how to submit late will be provided on KEATS module sites under assessment
information. Please label the file with your candidate number and double-check you have submitted
the correct file.

The external examiner for this module is Karen Staniland. Students are not to make direct
contact with external examiners, in particular regarding their individual performance in
assessments.

The College and its Examination Boards in the ten Faculties (Institutes/Schools, King's Learning
Institute and the Association of King's College (AKC), work with over 500 external examiners to
ensure the quality and standard of our taught awards. Find the latest report on the External
Examiners Report page, navigate to the Faculty of Nursing and Midwifery section.

Results and resubmissions for coursework

Students will receive a provisional (unratified) mark for their coursework 4 weeks following
submission. According to the method of submission as detailed on your KEATS site, if your work
was submitted online you will be able to download marked coursework from KEATS; alternatively, if
you completed a hard copy submission you can collect your coursework and feedback from the
Student Services Centre.

To collect a hard copy assignment, you must provide your candidate number. Alternatively, you may
send a stamped addressed envelope to the Student Services Centre ensuring that this is large enough
to accommodate your assignments and that you have applied sufficient postage. Hard copy
assignments will be retained for four weeks; if you have not collected your assignment by then, it
will be destroyed.

Feedback will include the award of a numerical grade which remains provisional until ratified by the
examination boards. The dates for the examination boards are available on KEATS. Ratified marks
can be viewed via Student Records on the King’s Intranet, the Monday following the relevant
examination board.

The marking criteria by which your work is judged are provided in full in your programme
handbook. Please also refer to the section in your programme handbook on plagiarism and how to
avoid it. If you have a query about how to refer to a specific piece of work please ask your module
leader, your group leader or a member of library staff for guidance or please use King’s Libguides
site.

6
The feedback you receive on your assignment will guide you towards how to do better next time or
how to maintain your existing high standard!

If you do not understand your mark or the feedback you receive please contact Adam Riedlinger.

If you are unsuccessful, it is recommended that you contact the module leader before submitting
your second attempt. This will enable the module leader to provide you with an appropriate level of
support as you prepare to resubmit your work.

7
Learning outcomes and resources

General reference
Dooley J.S., Lok A.S.F., Burroughs A.K. & Heathcote E.J. (2011) Sherlock’s Diseases of the Liver and
Biliary System. 12th ed. Wiley-Blackwell, Oxford.

Sargent S. (2009) Liver Diseases, An Essential Guide for Nurses and Health Care Professionals.
Wiley-Blackwell, Oxford.

Day 1
Session 1 – Course Introduction, Ice Breaker and Quiz

By the end of this session the students will be able to:

• Demonstrate familiarity with the course structure and content
• Demonstrate familiarity with other course students
• Understand the principles of e-learning and self-directed learning
• To understand how to access KEATS liver disease module 6KNIN337
• Differentiate between acute and chronic liver disease
• Acknowledge the common aetiologies of liver failure
• Understand the anatomy of the Liver and the main functions

Indicative reading
Module Handbook
Post-Qualification Handbook
Hill C. (2009) Anatomy and Physiology. Chapter 1. In Sargent S (2009) Liver Diseases; An Essential
Guide for Nurses and Health Care Professionals. Wiley-Blackwell, Oxford.

Session 2 – Chronic Liver Disease; Setting the Scene

By the end of the session students will

• Understand the UK prevalence of chronic liver disease
• Understand the most common aetiologies
• Recognise stigmata of chronic liver disease and reasons for these

Indicative reading
Lancet Commission - http://www.thelancet.com/commissions/crisis-of-liver-disease-in-the-uk

8
Session 3 – The Effect of Chronic Liver Disease on other Body Systems (Respiratory
and Cardiovascular)

By the end of the session the student will be able to

• To analyse the respiratory and cardiovascular complications of chronic and acute liver failure
• To revise the relevant pathophysiology
• To examine current treatments and evaluate effectiveness
• Explore the current nursing management of respiratory and cardiovascular complications in
patients with liver diseases.

Indicative reading
Møller S. & Bernardi M. (2013) Interactions of the heart and the liver. European Heart Journal 34,
2804-2811.
Yang Y.Y. & Lin H.C. (2012) The heart: Pathophysiology and clinical implications of cirrhotic
cardiomyopathy. Journal of the Chinese Medical Association 75, 619-623.

Session 4 – Understanding and Assessing a Patient’s Liver Function and Dispelling the
Myths about Haemostasis

By the end of the session the students will be able to:

• Differentiate between liver enzymes and liver function tests
• To analyse normal and abnormal values and the relation to liver disease
• To understand how Haemostasis changes in liver disease
• To debate appropriate interventions and precautions in managing coagulopathy in liver
disease.

Indicative reading
Greenslade L. (2009) Assessment of liver function and diagnostic studies in Sargent S (ed) (2009)
Liver Diseases; An Essential Guide for Nurses and Health Care Professional. Wiley-Blackwell,
Oxford.
Khoury T., Ayman A.R., Cohen J., Daher S., Shmuel C. & Mizrahi M. (2016). The Complex Role of
Anticoagulation in Cirrhosis: An Updated Review of Where We Are and Where We Are Going.
Digestion, 93(2), 149-159.
Patch D. & Dhillon A.P. (2011) Chapter 3 Biopsy of the Liver in Dooley J.S., Lok A.S.F., Burroughs
A.K. & Heathcote E.J. (2011) Sherlock’s Diseases of the Liver and Biliary System. 12th ed. Wiley-
Blackwell, Oxford.
Northu P.G. & Caldwell S.H. (2013) Coagulation in Liver Disease; a guide for the clinician. Clinical
Gastroenterology and Hepatology 11, 1064-1074.

9
Day 2
Session 1 – Portal Hypertension and the Management of a Patient with a Variceal
Haemorrhage

By the end of the session the student will be able to

• To revise the pathophysiology of portal hypertension and formation of varices
• To demonstrate knowledge of the SIGN guidelines for management of variceal bleeding
• To examine the emergency and long-term treatment strategies for portal hypertension

Indicative reading
Fullwood D. (2012) Portal hypertension and varices in patients with liver cirrhosis. Nursing
Standard 26(48), 52-57.
National Institute for Clinical Excellence (2012) Acute upper gastrointestinal bleeding management.
Guideline 141 http://www.nice.org.uk/nicemedia/live/13762/59549/59549.pdf

Session 2 – Ascites and Management

By the end of the session the student will be able to

• To examine the pathophysiology of ascites and diagnostic criteria
• To analyse the dietary, medical and surgical approaches to the management of patients with
ascites
• To analyse and evaluate the nursing management of patients with ascites.

Indicative reading
EASL (2010) Clinical Practice Guidelines on the management of ascites, spontaneous bacterial
peritonitis and hepatorenal syndrome in cirrhosis. Journal of Hepatology 53, 397-417.
Fullwood D. & Purushothaman (2014) Managing ascites in patients with chronic liver disease.
Nursing Standard 28(23), 51-58.

10
Session 3 – Acute Kidney Injury and Hepatorenal Syndrome in Chronic Liver Disease

By the end of the session the student will be able to

• To identify causes of acute kidney injury in patients with chronic liver disease and some of
the management strategies
• To demonstrate increased understanding of the pathophysiological factors underpinning
hepatorenal syndrome and the international ascites club diagnostic criteria
• To examine the current medical and nursing strategies for patients with hepatorenal
syndromes

Indicative reading
Tsien C.D., Rabie R. & Wong F. (2013) Acute kidney injury in decompensated cirrhosis. GUT 62,
131-137.
Wadai H.M. (2012) Hepatorenal syndrome; a critical update. Seminars in Respiratory and Critical
Care Medicine 33(1), 55-69.

Session 4 – Nutrition in chronic liver disease

By the end of the session the student will be able to

• To revise the alterations in energy metabolism found in chronic liver disease
• To review current treatment therapies and effects
• To analyse and review current nursing management.

Indicative reading
Plauth M., Cabre E., Riggio O., Assis-Camilo, M., Pirlich M., Kondrup J., ... & Nolte, W. (2006).
ESPEN guidelines on enteral nutrition: liver disease. Clinical Nutrition, 25(2), 285-294.
Johnson T. M., Overgard E. B., Cohen A. E., & DiBaise J. K. (2013). Nutrition assessment and
management in advanced liver disease. Nutrition in Clinical Practice, 28(1), 15-29.
Cheung K., Lee S. S., & Raman M. (2012). Prevalence and mechanisms of malnutrition in patients
with advanced liver disease, and nutrition management strategies. Clinical Gastroenterology and
Hepatology, 10(2), 117-125.

11
Day 3
Session 1 – Hepatic Encephalopathy and Management in Chronic Liver Disease

By the end of the session the student will be able to

• To revise the pathophysiology and underlying theories of hepatic encephalopathy
• To review current treatment therapies and effects
• Have an understanding of future therapies
• To analyse and review current nursing management

Indicative reading
Houlston C. & O’Neil H. (2009) Hepatic Encephalopathy in Sargent S (Ed.) (2009) Liver Disease;
An Essential Guide for Nursed and Health Care Professionals. Wiley-Blackwell. Oxford.
Prakesh R. & Mullen K.D. (2010) Mechanisms, diagnosis and management of hepatic
encephalopathy. Nature Reviews Gastroenterology and Hepatology 7, 515-525.

Session 2 – Acute pancreatitis

By the end of the session the student will be able to

• To revise the pathophysiology and underlying theories of pancreatitis
• Explore current epidemiology both worldwide and UK
• To review current treatment therapies and effects
• To analyse and review current nursing management

Indicative reading
Banks, Peter A., et al. "Classification of acute pancreatitis—2012: revision of the Atlanta
classification and definitions by international consensus." Gut 62.1(2013), 102-111.

Tenner, Scott, et al. "American College of Gastroenterology guideline: management of acute

pancreatitis." The American journal of gastroenterology 108.9(2013), 1400-1415.

Wu, Bechien U., and Peter A. Banks. "Clinical management of patients with acute pancreatitis."
Gastroenterology 144.6(2013), 1272-1281.

12
Session 3 – Viral Hepatitis

By the end of the session the student will be able to

• Understand the current modes of viral transmission of hepatitis
• Explore current epidemiology both worldwide and UK
• Analyse serological tests for the diagnosis and treatment of Hepatitis
• Understand current treatment options for patients with Hepatitis

Indicative reading
Oakes K. (2014) Management of chronic hepatitis B virus. Nursing Times. 110(8), 20-24.
EASL (2012) Revised Clinical Practice Guidelines on the Management of Chronic Hepatitis B
http://www.easl.eu/assets/application/files/ef520780b91cf4f_file.pdf accessed 13/6/14
Sarri G., Westby M., Bermingham S., Hill-Cawthorne G. & Thomas H. (2013) Diagnosis and
management of chronic hepatitis B virus in children, young people and adults: summary of NICE
guidance. British Medical Journal 346(7915) f3893
EASL (2014) Recommendation on treatment of hepatitis C infection. http://files.easl.eu/easl-
recommendations-on-treatment-of-hepatitis-C/index.html

Session 4 – Assignment Workshop

By the end of the session the student will be able to

• Understand the requirements of the module assessment
• Have an understanding of academic writing style and standards
• Have an understanding of plagiarism & how to avoid it

Indicative reading
Postqualification handbook
University plagiarism guidance (can be found via KEATS)

13
Day 4
Session 1 – Hepatocellular, Hepatobiliary and Pancreatic Carcinomas

By the end of the sessions the student will be able to

• To examine the incidence of Liver related cancers in the United Kingdom
• To review both medical and surgical treatment strategies
• Demonstrate increased understanding of the postoperative complication of hepatobiliary
surgery and procedures
• To examine current nursing management strategies for patients with liver related cancers.

Indicative reading
EASL (2012) Management of hepatocellular carcinoma
http://www.easl.eu/assets/application/files/d38c7689f123edf_file.pdf
Jervis N. (2009) in Sargent S (Ed.) (2009) Liver Disease; An Essential Guide for Nurses and Health
Care Professionals. Wiley-Blackwell, Oxford.

Session 2 – Overview and Management of Alcoholic Related Liver Disease

By the end of the session the student will be able to

• To analyse current incidence and impact on the health service
• To examine the pathophysiology of alcoholic liver disease, including fatty liver, alcoholic
hepatitis and cirrhosis
• To appraise current management for both ALD and alcoholic hepatitis

Indicative reading
Webb K. (2009) Alcohol Related Liver Disease in Sargent S. (Ed.) (2009) Liver Disease; An
Essential Guide for Nursed and Health Care Professionals. Wiley-Blackwell, Oxford.
Government alcohol strategy March 2012 http://www.homeoffice.gov.uk/publications/alcohol-
drugs/alcohol/alcohol-strategy?view=Binary

14
Session 3 – The Jaundiced Patient

By the end of the session the student will be able to

• To revise the anatomy and physiology of liver cells and biliary system to understand the flow
of bile
• To examine the differences between conjugated and unconjugated bilirubin
• To examine the pre hepatic, hepatic and post hepatic causes of jaundice
• To analyse current treatments and nursing management
• To analyse and evaluate the psychological impact of altered body image.

Indicative reading
Clayton M. (2009) Jaundice in Sargent S (Ed.) (2009) Liver Disease; An Essential Guide for
Nurses and Health Care Professionals. Wiley-Blackwell, Oxford.
Elias E. (2011) Chapter 11 Jaundice and Cholestasis in Dooley J.S., Lok A.S.F., Burroughs A.K. &
Heathcote E.J. (2011) Sherlock’s Diseases of the Liver and Biliary System. 12th ed. Wiley-Blackwell.
Oxford.

Session 4 – Non-Alcoholic Fatty Liver Disease

By the end of the session the student will be able to

• To understand the increasing incidence of NAFLD
• To examine the underlying pathophysiology, disease presentation and associated
complications
• To review the current evidence base management strategies.

Indicative reading
Nikolopoulos A. & Oben J.A. Non Alcoholic Fatty Liver Disease in Sargent S. (Ed.) (2009) Liver
Disease; An Essential Guide for Nursed and Health Care Professionals. Wiley-Blackwell, Oxford.
Sullivan S. (2010) Implications of diet on non-alcoholic fatty liver disease. Current opinions in
Gastroenterology 26(92), 160-164.

Session 5 – Primary Biliary Cholangitis and Primary Sclerosing Cholangitis

By the end of the session the student will be able to

• To review the basic pathophysiology of cholestatic liver diseases
• To examine diagnostic testing and signs and symptoms
• To examine disease related complications
• Appraise the effectiveness of current medical, surgical and nursing management

Indicative reading
Fullwood D. (2009) Primary Biliary Cirrhosis and Primary Biliary Cholangitis in Sargent S (Ed.)
(2009) Liver Disease; An Essential Guide for Nursed and Health Care Professionals. Wiley-
Blackwell, Oxford.
Fullwood D. (2009) The Diagnosis and Treatment of patient with Primary Sclerosing Cholangitis;
Gastrointestinal Nursing 7(5), 38-42.
Sargent S. & Fullwood D. (2008) Diagnosing and treating a patient with primary biliary cirrhosis.
British Journal of Nursing, 17(9), 566-570.

15
Day 5
Session 1 – Acute Liver Failure

By the end of the session the student will be able to

• To examine the clinical presentations of hyper acute, acute and sub-acute liver failure.
• To recognise the main aetiologies of acute liver failure
• To examine clinical presentation and nursing management of encephalopathy and cerebral
oedema, renal failure, coagulopathy, metabolic, cardiovascular and respiratory
complications in acute liver failure
• Consider the indications for referral and transplantation criteria
• Evaluate the current and future research of acute liver failure management

Indicative reading
Bernal W., Hyyrylainen A., Gera A., Audimoolam V.K., McPhail M.JW. et al (2013) Lessons from
look-back in acute liver failure ? A single centre experience of 3300 patients. Journal of Hepatology
59, 74-80.
Bernal W. & Wendon J. (2013). Acute liver failure. New England Journal of Medicine, 369(26).

Session 2 – Introduction to Immunosuppression for the Post-transplant Patient

By the end of the session the student will be able to

• To examine current Immunosuppression therapies in transplantation
• To look at Immunosuppression for the treatment of specific diseases of the liver.

Indicative reading
Geissler E.K. & Schlitt H.J. (2008) Immunosuppression for Liver transplantation. Gut 58, 452-463.

Session 3 – Liver Transplant Assessment for Patients with Chronic Liver Disease

By the end of the session the student will be able to

• Appraise the current transplant assessment and listing criteria for chronic transplant
recipients.

Indicative reading
Fullwood D., Jones F. & Lau-Walker M. (2011) Care of patients following liver transplantation.
Nursing Standard 25(49), 50-56.

Littlejohn W. & Routledge J. (2009) in Sargent S (Ed.) (2009) Liver Disease; An Essential Guide for
Nursed and Health Care Professionals. Wiley-Blackwell, Oxford.

16
Module evaluation
At the end of the module you are requested to complete the short online evaluation which will be
available on your module KEATS site. Student evaluations are very important to us and are required
by Health Education England and the regional London Local Education and Training Boards.

Action from previous evaluations

1. Assignment changed to avoid unintended plagiarism

2. Presentations made available prior to sessions

17
Timetable
Subject to change due to speaker availability.

Liver Disease: Care & Management of Patients

Teaching Date Type of Title Time Lecturer Room
mode Session
Adam
Introduction Welcome and introduction to the liver course 11:00-11:30
Riedlinger
Introduction to the anatomy & physiology of 11:30-12:15 Sheela Vinu
the liver Kurian

Chronic liver disease: setting the scene 12:15-13:00

University
3 May 2017 WBW LG11
based study The effect of chronic liver disease on other 14:00-15:00
Lecture
body systems (Respiratory and Adam
cardiovascular) Riedlinger
Understanding liver biochemistry and 15:00-16:00
dispelling the myths about Haemostasis

Day 2
Self-study/e-
Tutorial appointments available 10:00-11:00 JCMB 2.43
learning
Portal Hypertension and managing a patient 11:00-12:00
with a variceal bleed
Sheela Vinu
WBW G8
Ascites and management in patients with 12:00-13:00 Kurian
University Chronic Liver disease
4 May 2017
based study
Lecture
Hepatorenal syndrome and renal 14:00-15:00 Adam
complications Riedlinger
FWB G.80
Nutrition in liver disease 15:00-16:00 Nicole
Rainford

18
Day 3
Self-study/e-
Tutorial appointments available 10:00-11:00 JCMB 2.43
learning
Managing patients with Hepatic Adam
11:00-12:00
University Encephalopathy in Chronic Liver disease Riedlinger
5 May 2017
based study Acute Pancreatitis 12:00-13:00
Lecture WBW LG11
Viral Hepatitis 14:00-15:00 Kath Oakes
Adam
Essay workshop 15:00-16:00
Riedlinger
Day 4
Self-study/e-
Tutorial appointments available 10:00-11:00 JCMB 2.43
learning
Wendy
HPB cancers 11:00-12:00
Martin
University
8 May 2017 Alcohol related liver disease 12:00-13:00
based study
Lecture Causes of jaundice and care of the jaundiced WBW LG11
14:00-15:00 Adam
patient
Riedlinger
NAFLD 15:00-15:30
PBC/PBC 15:30-16:00
Day 5
Self-study/e-
Tutorial appointments available 10:00-11:00 JCMB 2.43
learning
Acute Liver Failure and transplantation 11:00-12:30
University Adam
9 May 2017 Immunosuppression for the post-transplant
based study 12:30-13:00 Riedlinger
Lecture patient WBW LG11
Issues in Transplantation for patients with Wendy
14:00-16:00
chronic liver disease Littlejohn

Location key:

FWB – Franklin-Wilkins Building, Waterloo Campus

JCMB – James Clerk Maxwell Building, Waterloo Campus

WBW – Waterloo Bridge Wing

19