Hepatic medicine refers to the liver, one of the most important organs in the body and often diseased after chronic alcoholism. There are more than a hundred different kinds of liver disease. Symptoms may include jaundice and weight loss.
The most common are:
- Cirrhosis is the formation of fibrous tissue (fibrosis) in the place of liver cells that have died due to a variety of causes, including viral hepatitis, alcohol overconsumption, and other forms of liver toxicity. Cirrhosis leads to chronic liver failure.
- Hepatitis, inflammation of the liver, can develop in various forms, and be caused by viruses and toxins as well as autoimmunity conditions and genetics.
- Alcoholic liver disease is a hepatic manifestation of alcohol overconsumption, including fatty liver disease, alcoholic hepatitis, and cirrhosis.
- Fatty liver disease (hepatic steatosis) is a reversible condition where triglyceride fat accumulates within liver cells. Non-alcoholic fatty liver disease is a spectrum of disease associated with obesity and metabolic syndrome.
- Hereditary diseases that cause damage to the liver include hemochromatosis, involving accumulation of iron in the body, and Wilson’s disease.
- Fascioliasis, a parasitic infection of liver caused by a liver fluke
- Transthyretin-related hereditary amyloidosis is where the liver produces a mutated transthyretin protein which has severe neurodegenerative and/or cardiopathic effects. Liver transplantation may give a curative treatment option.
- Gilbert’s syndrome, a genetic disorder of bilirubin metabolism found in a small percent of the population, can cause jaundice.
- Primary liver cancer most commonly manifests as hepatocellular carcinoma and/or cholangiocarcinoma.
At the bottom of this profile are brief details of a number of the experts that Expert Experts represents. Call our office to discuss your requirements and to obtain an expert submission that suits your needs and budget.
Expertise in Action
Experts in the field of hepatic medicine may be required to provide evidence in medical cases that require opinion on conditions, treatment, surgery, complications or injury of the liver. They may also be sought after in cases of medical negligence and malpractice.
For some fields of expertise we have some sample sections of de-identified reports. Please contact our office if you are interested in a sample.
The overall cost of expert opinion depends on the services required. Some of the key factors that affect the cost of advice include:
- The need for a view or inspection of a location
- The quantity of documentary material to be reviewed
- Whether there are reports of other experts to be reviewed and commented on in detail
- Whether there is a need for conferences with the expert either in person or by telephone/Skype
Prescribing in liver disease
As the liver is responsible for the metabolism of many compounds, knowledge of a patient's hepatic function is required for the safe prescribing of many drugs. The metabolism of many drugs depends on adequate hepatic function. Drugs with a narrow therapeutic range (that is, with little difference between toxic and therapeutic doses) run the risk of accumulating and causing toxicity in patients with hepatic disease.
Drug saves lives of those on liver transplant list, in world-first treatment
Austin Health's Transplant Unit has developed a continuous drip or infusion method of delivering Terlipressin over 24 hours, meaning patients can receive treatment at home, rather than being admitted to hospital for months at a time. Terlipressin constricts blood vessels around the bowel, increasing the blood supply to the kidneys and improving how they function. Formerly, liver patients with kidney issues have to be admitted to hospital to receive injections of the drug. But
Davies and Repatriation Commission  AATA 305
Experts were asked to offer opinions on whether hepatic coma, cirrhosis of the liver, or chronic alcoholism was the primary cause of death in a veteran stationed on Thursday Island.
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