Check Study Program

David, aged 58 years, presents to see you for the first time following his recent discharge from the emergency department. The discharge summary provided informs you David presented with abdominal pain. Pathology and the abdominal ultrasound performed were consistent with cholecystitis and fatty liver. David tells you he is now on the waiting list for a laparoscopic cholecystectomy. David’s past medical history is significant for hypertension and hyperlipidaemia. He reports smoking 25 cigarettes a day and consumes a six-pack of full-strength beer daily. On examination, David appears overweight. His blood pressure is 150/90 mmHg. His abdomen is soft and non-tender, with no palpable organomegaly. 1.What are the issues in this case that require consideration? 2.What further history would you seek from David at this time? 3.What liver disease does David have and how is it diagnosed?What further assessment should be undertaken? 4.What are the risks of continued smoking and alcohol use in patients with chronic liver disease? 5.What are the benefits of smoking cessation for surgical outcomes? 6.What non-pharmacological and pharmacological interventions would you recommend to help David with smoking cessation? #Week14_Case1

Hi everyone 😍 RACGP published the new check magazine in Smoking cessation today.So we will cover it this week instead of the Orthopedics check and from next week starting 2021 checks.🌹

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