Hepatic / Biliary System

Body Systems Hepatic / Biliary System
Liver/Biliary overview

Hepatic / Biliary System

Liver, biliary, and pancreatic conditions, evidence, coding, and nursing diagnoses.

Conditions

Major liver/biliary conditions

Liver/Biliary 6 sections

HBV

Hepatitis B (HBV): DNA virus transmitted sexually, perinatally, bloodborne. Acute: 95% adults clear. Chronic (HBsAg >6 months): cirrhosis/HCC risk. Effective vaccine available. Antivirals achieve viral suppression.

HBV hepatitis B chronic hepatitis B
Liver/Biliary 6 sections

HCV

Hepatitis C (HCV): RNA virus, mainly bloodborne. 75-85% become chronic → cirrhosis → HCC. Direct-acting antivirals (DAAs) achieve >95% cure rates (SVR12). All chronic HCV patients should be treated.

HCV hepatitis C chronic hepatitis C
Liver/Biliary 6 sections

NAFLD/NASH

NAFLD: fat in liver without significant alcohol use. NASH (nonalcoholic steatohepatitis): NAFLD + inflammation/fibrosis. Leading cause of cirrhosis worldwide. Resmetirom FDA-approved 2024 for MASH.

NAFLD NASH MAFLD
Liver/Biliary 6 sections

ALF

ALF: rapid liver dysfunction (coagulopathy + encephalopathy) in patient without prior liver disease. Most common cause in US: acetaminophen overdose. N-acetylcysteine and liver transplant evaluation critical.

ALF acute liver failure fulminant hepatic failure
Liver/Biliary 6 sections

Cholecystitis

Acute cholecystitis: gallbladder inflammation from cystic duct obstruction by gallstone (95%) or acalculous (5%). Murphy sign: inspiratory arrest with RUQ palpation. Laparoscopic cholecystectomy is treatment.

cholecystitis acute cholecystitis gallbladder inflammation
Nursing diagnoses & care plans

Related nursing diagnoses

NANDA Care plans

Nursing Diagnoses & Care Plans

Open the NANDA tool to review nursing diagnoses and care-plan concepts related to liver/biliary conditions.