03.03 GI/GS

03.04 GI/GS [PDF link]: Hepatitis A, B, C, E – Hepatitis B tests, Autoimmune hepatitis, Non-alcoholic fatty liver disease (NAFLD)

External links

• Child Pugh score: MDCalc

• MELD score: MDCalc (different versions available)

Internal links

• More on LFTs 03.11, and jaundice 03.12

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Side note: I am aware that NAFLD is being rebranded as Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) but am waiting for more on NICE guidance to come out before making a big edit.

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Immunisation in chronic liver disease – recommended

• Hepatitis A

• Hepatitis B (if not already infected)

• HPV (especially if ≤26yo)

• Influenza (yearly)

• Pneumococcal vaccine

• RSV (if ≥75yo, or if between 60-74yo with high risk of respiratory disease)

• Tdap

• Zoster (if ≥19yo with immunosuppression, or if ≥50yo)

• Covid-19