Hepatology Resources
Liver Consultants of Texas
Internationally known for providing specialized care to patients with hepatitis and other liver diseases, Liver Consultants of Texas has developed a premier hepatology research and treatment center supported by an experienced team of specialists. The comprehensive hepatology program offers patients important education about their condition and advanced treatment for all types of liver disease.
Located at:
Baylor University Medical Center at Dallas
214-820-8500
Gary Davis, MD
Carmen Landaverde, MD
Linsheng Guo, MD
Rita Lepe, MD
Jacqueline O'Leary, MD, MPH
Robert Perrillo, MD
James Trotter, MD
Jennifer T. Wells, MD
Baylor All Saints Medical Center at Fort Worth
817-922-9968
Natalie Murray, MD
Stevan A. Gonzalez, MD
Manjushree Gautam, MD, MAS
Annette C. and Harold C. Simmons Transplant Institute
Liver, Kidney, Pancreas, Heart, Lung, and multiviceral transplant
Exceptions that gain your patients extra MELD points
Transplantation Criteria for HCC
- One lesion <=6cm
- Three lesions or less with the largest one <=5cm and the total volume can  not exceed 9 cm
- YES - we can downsize and still transplant!
Transplant Criteria for Cholangiocarcinoma
- Less than 3 cm
- Do not biopsy these patients because those who have been biopsied are not transplant candidates.
- Patients with small cholangiocarcinomas who complete the Mayo protocol and undergo liver transplantation have a 75% 5 year survival.
American Society of Transplantation
Free lecture series on transplant topics
Liver Cancer
Hepatocellular carcinoma: management of an increasingly
common problem
Hepatocellular carcinoma (HCC) is a common cancer that typically occurs
in the setting of cirrhosis and chronic hepatitis virus infections. Hepatitis
B and C account for approximately 80% of cases worldwide.
Patient Information
JAMA Patient Pages
Excellent one page materials for patients in English and Spanish for your waiting room on Liver and GI diseases.
American Liver Foundation
Disease specific patient information for your office.
A list of and links to disease specific web sites for your patients.
CDC
- Patient information on hepatitis C
- Patient information on hepatitis B
Practice Guidelines
American Association for the Study of Liver Diseases (AASLD)
Helpful Calculators
MELD
Calculate your patient's MELD score (age>11).
There are no minimal listing criteria for transplant.
Patients with a MELD > 15 live longer with transplant than without.
PELD
Calculate your patients PELD score (age<12)
PBC Mayo Model
Predicts PBC patient's 2 year risk of mortality.
PSC Mayo Risk Score
This PSC risk score places patients into low, medium, and high risk groups based on age, bilirubin, albumin, AST, and history of variceal bleeding.
Maddrey's Desciminant Function
Calculate your patient's descriminant function. If they have a score >32 then prednisone 40 mg per day or trental 400 mg tid may be indicated.
Autoimmune Hepatitis Calculator
Unsure if your patient has autoimmune hepatitis? This web site can help.
MD Calculator
47 different general medicine calculators.
Download a HOMA Calculator
Homeostatis Model Assessment (HOMA) calculates your patient's insulin resistance. Insulin resistance decreases sustained virologic response to HCV therapy.
Tylenol Toxicity
- Nomogram to determine patients risk of toxicity
- Oral and IV dosing of N-acetylcystine for Tylenol Overdoses
Other Useful Sites
E-medicine
Free short synopses on medical topics which include differential diagnoses, treatment, and management.
ICD-9 codes
A comprehensive list of ICD-9 codes
Journals
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