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Self Study Evaluation, Staging, and Monitoring

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Evaluation, Staging, and Monitoring

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Core Competencies

Initial Evaluation of Persons with Chronic HCV

Topic
Learning Objectives
Background
General Approach to Initial Evaluation
Key Aspects of Medical History
Key Aspects of Physical Examination
Recommended Initial Laboratory Studies
Immunizations for Persons with Chronic HCV
Screening for other Causes of Liver Disease
Summary Points

Natural History of HCV Infection

Topic
Learning Objectives
Spontaneous Clearance versus Chronic Infection
Variable Outcomes of Chronic Infection
Host Factors that Impact Rate of Fibrosis Progression
Viral Factors that Impact Rate of Fibrosis Progression
Environmental Factors that Impact Rate of Fibrosis Progression
Summary Points

Counseling Persons with Chronic HCV Infection

Topic
Learning Objectives
Background
Over-the-Counter Pain Medications
Iron and Vitamin Supplements
Complementary and Alternative Therapies
Coffee, Diet, and Sodium Intake
Modifying Obesity
Alcohol, Cannabis, and Tobacco
Summary Points

Evaluation and Staging of Liver Fibrosis

Topic
Learning Objectives
Background
Indirect Markers for Estimating Hepatic Fibrosis
Direct Markers of Fibrosis
Radiologic Modalities to Estimate Fibrosis
Liver Biopsy and Histologic Assessment of the Liver
Summary Points

Evaluation and Prognosis of Persons with Cirrhosis

Topic
Learning Objectives
Background
Evaluation of Persons with Cirrhosis
Classification Systems for Persons with Cirrhosis
Compensated Cirrhosis
Decompensated Cirrhosis
Summary Points

Surveillance for Hepatocellular Carcinoma

Topic
Learning Objectives
Epidemiology
Risk Factors and Prognosis
Benefit of HCC Surveillance with HCV Infection
Indications for HCC Surveillance
Surveillance Testing Methods
Guidance for HCC Surveillance
Summary Points

Extrahepatic Conditions Related to HCV Infection

Topic
Learning Objectives
Overview of Extrahepatic Manifestations
Cryoglobulinemia
Autoimmune Disorders
Renal Disorders
Dermatologic Manifestations
Insulin Resistance and Type 2 Diabetes
Lymphomas
Cardiovascular Events
Summary Points

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