CINXE.COM

<!DOCTYPE html> <html xmlns="http://www.w3.org/1999/xhtml" lang="en" xml:lang="en"> <head>  <script async src="https://www.googletagmanager.com/gtag/js?id=G-WVK41JBQ8K"></script> <script> window.dataLayer = window.dataLayer || []; function gtag(){dataLayer.push(arguments);} gtag('js', new Date()); gtag('config', 'G-WVK41JBQ8K'); </script> <meta http-equiv="Content-Type" content="text/html;charset=utf-8" /> <title>Management of Cirrhosis-Related Complications - Hepatitis C Online</title>  <link href="https://fonts.googleapis.com/css?family=Open+Sans:400,400i,600,600i,700,700i&subset=latin-ext" rel="stylesheet"> <link rel="stylesheet" href="//cdn.hepatitisc.uw.edu/css/vendors.css?v=bmhjdmMtbWFzdGVyLWM4ODQzNjczLTIwMjQtMTEtMTMtMjA1NjI0Cg" type="text/css" media="screen,print" /> <link rel="stylesheet" href="//cdn.hepatitisc.uw.edu/css/dynamic.css.php?v=bmhjdmMtbWFzdGVyLWM4ODQzNjczLTIwMjQtMTEtMTMtMjA1NjI0Cg" type="text/css" media="screen,print" /> <link rel="stylesheet" href="//cdn.hepatitisc.uw.edu/css/style.css?v=bmhjdmMtbWFzdGVyLWM4ODQzNjczLTIwMjQtMTEtMTMtMjA1NjI0Cg" type="text/css" media="screen,print" /> <meta name="viewport" content="width=1024"> <link rel="shortcut icon" href="//cdn.hepatitisc.uw.edu/css/images/favicon.png?v=bmhjdmMtbWFzdGVyLWM4ODQzNjczLTIwMjQtMTEtMTMtMjA1NjI0Cg" type="image/png" size="192x192" /> <script defer="defer" src="//scripts.idea.medicine.uw.edu/master/runtime.caaee8378320e1074c74.js"></script><script defer="defer" src="//scripts.idea.medicine.uw.edu/master/vendors.b556ee559ae64914a132.js"></script><script defer="defer" src="//scripts.idea.medicine.uw.edu/master/main.5c07ad03432292d251eb.js"></script> <script type="text/javascript"> var ie8_compatibility_mode = 0; const base_url = 'https://www.hepatitisC.uw.edu/'; const live_url = 'https://www.hepatitisC.uw.edu'; const live_domain = 'www.hepatitisC.uw.edu'; var debug = false; </script>  <script type="text/javascript" src="//cdn.hepatitisc.uw.edu/scripts/min/vendors-min.js?v=bmhjdmMtbWFzdGVyLWM4ODQzNjczLTIwMjQtMTEtMTMtMjA1NjI0Cg"></script> <script type="text/javascript" src="//cdn.hepatitisc.uw.edu/scripts/min/scripts-min.js?v=bmhjdmMtbWFzdGVyLWM4ODQzNjczLTIwMjQtMTEtMTMtMjA1NjI0Cg"></script> <link rel="apple-touch-icon" sizes="180x180" href="//cdn.hepatitisc.uw.edu/css/images/ios/logo.png" /><meta name="theme-color" content="#4b5c84"> </head> <body class="site-nhcvc logged-out action-custom custom-id-47 custom-type-topical custom-access-public custom-theme-33 custom-self-study not-mobile use-questions"> <section id="header-components"><div id="header"><div class="inner"><a href="/process.php?action=home" id="logo">Hepatitis C Online</a></div></div><div class="nav-outer"><div class="level1-navigation"><div class="inner"><div class="custom-curriculums-title custom-curriculum-47 theme-33"><h2 class="title"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications">Management of Cirrhosis-Related Complications</a></h2></div><ul class="main-menu"><li class="section section-menu visible-mobile"><div class="link"><span class="menu-open glyphicon glyphicon-th" aria-hidden="true"></span><span class="menu-close glyphicon glyphicon-remove" aria-hidden="true"></span> <span class="hidden">Site Navigation</span></div></li><li class="section home-section"><a href="/" title="Hepatitis C Online" class=" link"></a></li><li class="section biology"><a href="/page/hcv/biology" class="link ">HCV <br />Biology</a></li><li class="section treatments nhcvc-medications has-submenu"><a href="/page/treatment/drugs" class=" link ">HCV <br />Medications<span class="submenu-trigger"></span></a><div class="submenu medications"><div class="description description-default">Listed in <strong>alphabetical</strong> order.</div><ul><li class="treatment treatment-7"><a href="/page/treatment/drugs/elbasvir-grazoprevir"><img class="drug-preview" src="//cdn.hepatitisc.uw.edu/css/images/drugs/7.png" alt="Elbasvir-Grazoprevir (Zepatier) Pill Preview" />Elbasvir-Grazoprevir <em>Zepatier</em></a></li><li class="treatment treatment-22"><a href="/page/treatment/drugs/glecaprevir-pibrentasvir"><img class="drug-preview" src="//cdn.hepatitisc.uw.edu/css/images/drugs/22.png" alt="Glecaprevir-Pibrentasvir (Mavyret) Pill Preview" />Glecaprevir-Pibrentasvir <em>Mavyret</em></a></li><li class="treatment treatment-11"><a href="/page/treatment/drugs/ledipasvir-sofosbuvir"><img class="drug-preview" src="//cdn.hepatitisc.uw.edu/css/images/drugs/11.png" alt="Ledipasvir-Sofosbuvir (Harvoni) Pill Preview" />Ledipasvir-Sofosbuvir <em>Harvoni</em></a></li><li class="treatment treatment-3"><a href="/page/treatment/drugs/ribavirin-drug"><img class="drug-preview" src="//cdn.hepatitisc.uw.edu/css/images/drugs/3.png" alt="Ribavirin (Copegus, Rebetol, Ribasphere) Pill Preview" />Ribavirin <em>Copegus, Rebetol, Ribasphere</em></a></li><li class="treatment treatment-1"><a href="/page/treatment/drugs/sofosbuvir-drug"><img class="drug-preview" src="//cdn.hepatitisc.uw.edu/css/images/drugs/1.png" alt="Sofosbuvir (Sovaldi) Pill Preview" />Sofosbuvir <em>Sovaldi</em></a></li><li class="treatment treatment-20"><a href="/page/treatment/drugs/epclusa"><img class="drug-preview" src="//cdn.hepatitisc.uw.edu/css/images/drugs/20.png" alt="Sofosbuvir-Velpatasvir (Epclusa) Pill Preview" />Sofosbuvir-Velpatasvir <em>Epclusa</em></a></li><li class="treatment treatment-21"><a href="/page/treatment/drugs/sofosbuvir-velpatasvir-voxilaprevir"><img class="drug-preview" src="//cdn.hepatitisc.uw.edu/css/images/drugs/21.png" alt="Sofosbuvir-Velpatasvir-Voxilaprevir (Vosevi) Pill Preview" />Sofosbuvir-Velpatasvir-Voxilaprevir <em>Vosevi</em></a></li></ul></div></li><li class="section modules active-trail has-submenu"><a href="/alternate" class="link active-trail">Course <br /> Modules<span class="submenu-trigger"></span></a><div class="submenu modules"><ul><li class="level1 level1-all "><a href="/alternate"><span class="caption">View all Course Modules</span></a></li><li class="level1 level1-31 has-subsubmenu"><a href="/go/screening-diagnosis"><span class="num">1</span><span class="caption">Screening and Diagnosis of Hepatitis C Infection</span><span class="submenu-trigger"></span></a><div class="subsubmenu custom"><a class="description" href="/custom/screening-diagnosis"><h3>Self-Study Module<span class="edition-tag edition-tag-4">4th Edition</span><span class="cme-tag cme-tag-available">CNE/CME Available</span></h3> Track your progress and receive CE credit</a><ul><li><a href="/custom/screening-diagnosis">Screening and Diagnosis: Self-Study <span class="cme-tag cme-tag-available">CNE/CME</span></a></li></ul><h4>Lessons</h4><ol><li class="level2 level2-108"><a href="/custom/screening-diagnosis/epidemiology-us"><span class="caption">HCV Epidemiology in the United States</span></a></li><li class="level2 level2-109"><a href="/custom/screening-diagnosis/recommendations-screening"><span class="caption">Recommendations for Hepatitis C Screening</span></a></li><li class="level2 level2-110"><a href="/custom/screening-diagnosis/diagnostic-testing"><span class="caption">Hepatitis C Diagnostic Testing</span></a></li><li class="level2 level2-111"><a href="/custom/screening-diagnosis/counseling-prevention"><span class="caption">Counseling for Prevention of HCV Transmission</span></a></li><li class="level2 level2-112"><a href="/custom/screening-diagnosis/acute-diagnosis"><span class="caption">Diagnosis of Acute HCV Infection</span></a></li></ol><ul><li><a href="/custom/screening-diagnosis/certificate">Certificate Requirements <span class="cme-tag cme-tag-available">CNE/CME</span></a></li></ul></div><div class="subsubmenu level2s"><a class="description" href="/go/screening-diagnosis"><h3>Quick Reference<span class="edition-tag edition-tag-4">4th Edition</span></h3> Rapidly access information in this module</a><ul><li><a href="/go/screening-diagnosis">Screening and Diagnosis of Hepatitis C Infection: Overview</a></li></ul><h4>Lessons</h4><ol><li class="level2 level2-153"><a href="/go/screening-diagnosis/epidemiology-us/core-concept/all"><span class="caption">HCV Epidemiology in the United States</span></a></li><li class="level2 level2-157"><a href="/go/screening-diagnosis/recommendations-screening/core-concept/all"><span class="caption">Recommendations for Hepatitis C Screening</span></a></li><li class="level2 level2-154"><a href="/go/screening-diagnosis/diagnostic-testing/core-concept/all"><span class="caption">Hepatitis C Diagnostic Testing</span></a></li><li class="level2 level2-155"><a href="/go/screening-diagnosis/counseling-prevention/core-concept/all"><span class="caption">Counseling for Prevention of HCV Transmission</span></a></li><li class="level2 level2-156"><a href="/go/screening-diagnosis/acute-diagnosis/core-concept/all"><span class="caption">Diagnosis of Acute HCV Infection</span></a></li></ol></div></li><li class="level1 level1-34 has-subsubmenu"><a href="/go/evaluation-staging-monitoring"><span class="num">2</span><span class="caption">Evaluation, Staging, and Monitoring of Chronic Hepatitis C</span><span class="submenu-trigger"></span></a><div class="subsubmenu custom"><a class="description" href="/custom/evaluation-staging-monitoring"><h3>Self-Study Module<span class="edition-tag edition-tag-4">4th Edition</span><span class="cme-tag cme-tag-available">CNE/CME Available</span></h3> Track your progress and receive CE credit</a><ul><li><a href="/custom/evaluation-staging-monitoring">Evaluation, Staging, and Monitoring: Self-Study <span class="cme-tag cme-tag-available">CNE/CME</span></a></li></ul><h4>Lessons</h4><ol><li class="level2 level2-124"><a href="/custom/evaluation-staging-monitoring/initial-evaluation-chronic"><span class="caption">Initial Evaluation of Persons with Chronic HCV</span></a></li><li class="level2 level2-125"><a href="/custom/evaluation-staging-monitoring/natural-history"><span class="caption">Natural History of HCV Infection</span></a></li><li class="level2 level2-126"><a href="/custom/evaluation-staging-monitoring/counseling-liver-health"><span class="caption">Counseling Persons with Chronic HCV Infection</span></a></li><li class="level2 level2-127"><a href="/custom/evaluation-staging-monitoring/evaluation-staging"><span class="caption">Evaluation and Staging of Liver Fibrosis</span></a></li><li class="level2 level2-128"><a href="/custom/evaluation-staging-monitoring/evaluation-prognosis-cirrhosis"><span class="caption">Evaluation and Prognosis of Persons with Cirrhosis</span></a></li><li class="level2 level2-129"><a href="/custom/evaluation-staging-monitoring/surveillance-hepatocellular-carcinoma"><span class="caption">Surveillance for Hepatocellular Carcinoma</span></a></li><li class="level2 level2-130"><a href="/custom/evaluation-staging-monitoring/extrahepatic-conditions"><span class="caption">Extrahepatic Conditions Related to HCV Infection</span></a></li></ol><ul><li><a href="/custom/evaluation-staging-monitoring/certificate">Certificate Requirements <span class="cme-tag cme-tag-available">CNE/CME</span></a></li></ul></div><div class="subsubmenu level2s"><a class="description" href="/go/evaluation-staging-monitoring"><h3>Quick Reference<span class="edition-tag edition-tag-4">4th Edition</span></h3> Rapidly access information in this module</a><ul><li><a href="/go/evaluation-staging-monitoring">Evaluation, Staging, and Monitoring of Chronic Hepatitis C: Overview</a></li></ul><h4>Lessons</h4><ol><li class="level2 level2-169"><a href="/go/evaluation-staging-monitoring/initial-evaluation-chronic/core-concept/all"><span class="caption">Initial Evaluation of Persons with Chronic HCV</span></a></li><li class="level2 level2-170"><a href="/go/evaluation-staging-monitoring/natural-history/core-concept/all"><span class="caption">Natural History of HCV Infection</span></a></li><li class="level2 level2-171"><a href="/go/evaluation-staging-monitoring/counseling-liver-health/core-concept/all"><span class="caption">Counseling Persons with Chronic HCV Infection</span></a></li><li class="level2 level2-172"><a href="/go/evaluation-staging-monitoring/evaluation-staging/core-concept/all"><span class="caption">Evaluation and Staging of Liver Fibrosis</span></a></li><li class="level2 level2-175"><a href="/go/evaluation-staging-monitoring/evaluation-prognosis-cirrhosis/core-concept/all"><span class="caption">Evaluation and Prognosis of Persons with Cirrhosis</span></a></li><li class="level2 level2-173"><a href="/go/evaluation-staging-monitoring/surveillance-hepatocellular-carcinoma/core-concept/all"><span class="caption">Surveillance for Hepatocellular Carcinoma</span></a></li><li class="level2 level2-174"><a href="/go/evaluation-staging-monitoring/extrahepatic-conditions/core-concept/all"><span class="caption">Extrahepatic Conditions Related to HCV Infection</span></a></li></ol></div></li><li class="level1 level1-33 has-subsubmenu"><a href="/go/management-cirrhosis-related-complications"><span class="num">3</span><span class="caption">Management of Cirrhosis-Related Complications</span><span class="submenu-trigger"></span></a><div class="subsubmenu custom"><a class="description" href="/custom/management-cirrhosis-related-complications"><h3>Self-Study Module<span class="edition-tag edition-tag-4">4th Edition</span><span class="cme-tag cme-tag-available">CNE/CME Available</span></h3> Track your progress and receive CE credit</a><ul><li><a href="/custom/management-cirrhosis-related-complications">Management of Cirrhosis-Related Complications: Self-Study <span class="cme-tag cme-tag-available">CNE/CME</span></a></li></ul><h4>Lessons</h4><ol><li class="level2 level2-119"><a href="/custom/management-cirrhosis-related-complications/ascites-diagnosis-management"><span class="caption">Diagnosis and Management of Ascites</span></a></li><li class="level2 level2-120"><a href="/custom/management-cirrhosis-related-complications/spontaneous-bacterial-peritonitis-recognition-management"><span class="caption">Recognition and Management of Spontaneous Bacterial Peritonitis</span></a></li><li class="level2 level2-121"><a href="/custom/management-cirrhosis-related-complications/varices-screening-prevention-bleeding"><span class="caption">Screening for Varices and Prevention of Bleeding</span></a></li><li class="level2 level2-122"><a href="/custom/management-cirrhosis-related-complications/hepatic-encephalopathy-diagnosis-management"><span class="caption">Diagnosis and Management of Hepatic Encephalopathy</span></a></li><li class="level2 level2-123"><a href="/custom/management-cirrhosis-related-complications/liver-transplantation-referral"><span class="caption">Referral for Liver Transplantation</span></a></li></ol><ul><li><a href="/custom/management-cirrhosis-related-complications/certificate">Certificate Requirements <span class="cme-tag cme-tag-available">CNE/CME</span></a></li></ul></div><div class="subsubmenu level2s"><a class="description" href="/go/management-cirrhosis-related-complications"><h3>Quick Reference<span class="edition-tag edition-tag-4">4th Edition</span></h3> Rapidly access information in this module</a><ul><li><a href="/go/management-cirrhosis-related-complications">Management of Cirrhosis-Related Complications: Overview</a></li></ul><h4>Lessons</h4><ol><li class="level2 level2-164"><a href="/go/management-cirrhosis-related-complications/ascites-diagnosis-management/core-concept/all"><span class="caption">Diagnosis and Management of Ascites</span></a></li><li class="level2 level2-165"><a href="/go/management-cirrhosis-related-complications/spontaneous-bacterial-peritonitis-recognition-management/core-concept/all"><span class="caption">Recognition and Management of Spontaneous Bacterial Peritonitis</span></a></li><li class="level2 level2-166"><a href="/go/management-cirrhosis-related-complications/varices-screening-prevention-bleeding/core-concept/all"><span class="caption">Screening for Varices and Prevention of Bleeding</span></a></li><li class="level2 level2-167"><a href="/go/management-cirrhosis-related-complications/hepatic-encephalopathy-diagnosis-management/core-concept/all"><span class="caption">Diagnosis and Management of Hepatic Encephalopathy</span></a></li><li class="level2 level2-168"><a href="/go/management-cirrhosis-related-complications/liver-transplantation-referral/core-concept/all"><span class="caption">Referral for Liver Transplantation</span></a></li></ol></div></li><li class="level1 level1-35 has-subsubmenu"><a href="/go/evaluation-treatment"><span class="num">4</span><span class="caption">Evaluation and Preparation for Hepatitis C Treatment</span><span class="submenu-trigger"></span></a><div class="subsubmenu custom"><a class="description" href="/custom/evaluation-treatment"><h3>Self-Study Module<span class="edition-tag edition-tag-4">4th Edition</span><span class="cme-tag cme-tag-available">CNE/CME Available</span></h3> Track your progress and receive CE credit</a><ul><li><a href="/custom/evaluation-treatment">Evaluation and Preparation for Treatment: Self-Study <span class="cme-tag cme-tag-available">CNE/CME</span></a></li></ul><h4>Lessons</h4><ol><li class="level2 level2-131"><a href="/custom/evaluation-treatment/treatment-goals-predicting-response"><span class="caption">Goals and Benefits with HCV Treatment</span></a></li><li class="level2 level2-132"><a href="/custom/evaluation-treatment/treatment-initiation-decision"><span class="caption">Making a Decision on When to Initiate HCV Therapy</span></a></li><li class="level2 level2-133"><a href="/custom/evaluation-treatment/addressing-structural-barriers-to-treatment"><span class="caption">Addressing Structural Barriers to HCV Treatment</span></a></li></ol><ul><li><a href="/custom/evaluation-treatment/certificate">Certificate Requirements <span class="cme-tag cme-tag-available">CNE/CME</span></a></li></ul></div><div class="subsubmenu level2s"><a class="description" href="/go/evaluation-treatment"><h3>Quick Reference<span class="edition-tag edition-tag-4">4th Edition</span></h3> Rapidly access information in this module</a><ul><li><a href="/go/evaluation-treatment">Evaluation and Preparation for Hepatitis C Treatment: Overview</a></li></ul><h4>Lessons</h4><ol><li class="level2 level2-176"><a href="/go/evaluation-treatment/treatment-goals-predicting-response/core-concept/all"><span class="caption">Goals and Benefits with HCV Treatment</span></a></li><li class="level2 level2-177"><a href="/go/evaluation-treatment/treatment-initiation-decision/core-concept/all"><span class="caption">Making a Decision on When to Initiate HCV Therapy</span></a></li><li class="level2 level2-178"><a href="/go/evaluation-treatment/addressing-structural-barriers-to-treatment/core-concept/all"><span class="caption">Addressing Structural Barriers to HCV Treatment</span></a></li></ol></div></li><li class="level1 level1-30 has-subsubmenu"><a href="/go/treatment-infection"><span class="num">5</span><span class="caption">Treatment of Hepatitis C Infection</span><span class="submenu-trigger"></span></a><div class="subsubmenu custom"><a class="description" href="/custom/treatment"><h3>Self-Study Module<span class="edition-tag edition-tag-4">4th Edition</span><span class="cme-tag cme-tag-available">CNE/CME Available</span></h3> Track your progress and receive CE credit</a><ul><li><a href="/custom/treatment">Treatment of HCV: Self-Study <span class="cme-tag cme-tag-available">CNE/CME</span></a></li></ul><h4>Lessons</h4><ol><li class="level2 level2-102"><a href="/custom/treatment/multi-genotype-treatment-new-lesson"><span class="caption">Simplified HCV Treatment for All HCV Genotypes</span></a></li><li class="level2 level2-103"><a href="/custom/treatment/retreatment-patients-prior-treatment-experience"><span class="caption">Retreatment of Patients with Prior HCV Treatment Experience</span></a></li><li class="level2 level2-101"><a href="/custom/treatment/monitoring"><span class="caption">Monitoring During and After HCV Treatment</span></a></li><li class="level2 level2-105"><a href="/custom/treatment/treatment-cirrhosis"><span class="caption">Treatment of HCV in Persons with Cirrhosis</span></a></li><li class="level2 level2-104"><a href="/custom/treatment/treatment-acute-infection"><span class="caption">Treatment of Acute HCV Infection</span></a></li></ol><ul><li><a href="/custom/treatment/certificate">Certificate Requirements <span class="cme-tag cme-tag-available">CNE/CME</span></a></li></ul></div><div class="subsubmenu level2s"><a class="description" href="/go/treatment-infection"><h3>Quick Reference<span class="edition-tag edition-tag-4">4th Edition</span></h3> Rapidly access information in this module</a><ul><li><a href="/go/treatment-infection">Treatment of Hepatitis C Infection: Overview</a></li></ul><h4>Lessons</h4><ol><li class="level2 level2-149"><a href="/go/treatment-infection/multi-genotype-treatment-new-lesson/core-concept/all"><span class="caption">Simplified HCV Treatment for All HCV Genotypes</span></a></li><li class="level2 level2-150"><a href="/go/treatment-infection/retreatment-patients-prior-treatment-experience/core-concept/all"><span class="caption">Retreatment of Patients with Prior HCV Treatment Experience</span></a></li><li class="level2 level2-143"><a href="/go/treatment-infection/monitoring/core-concept/all"><span class="caption">Monitoring During and After HCV Treatment</span></a></li><li class="level2 level2-152"><a href="/go/treatment-infection/treatment-cirrhosis/core-concept/all"><span class="caption">Treatment of HCV in Persons with Cirrhosis</span></a></li><li class="level2 level2-151"><a href="/go/treatment-infection/treatment-acute-infection/core-concept/all"><span class="caption">Treatment of Acute HCV Infection</span></a></li></ol></div></li><li class="level1 level1-32 has-subsubmenu"><a href="/go/key-populations-situations"><span class="num">6</span><span class="caption">Treatment of Key Populations and Unique Situations</span><span class="submenu-trigger"></span></a><div class="subsubmenu custom"><a class="description" href="/custom/key-populations-unique-situations"><h3>Self-Study Module<span class="edition-tag edition-tag-4">4th Edition</span><span class="cme-tag cme-tag-available">CNE/CME Available</span></h3> Track your progress and receive CE credit</a><ul><li><a href="/custom/key-populations-unique-situations">Treatment of Key Populations and Unique Situations: Self-Study <span class="cme-tag cme-tag-available">CNE/CME</span></a></li></ul><h4>Lessons</h4><ol><li class="level2 level2-113"><a href="/custom/key-populations-unique-situations/treatment-hiv-coinfection"><span class="caption">Treatment of HCV in Persons with HIV Coinfection</span></a></li><li class="level2 level2-114"><a href="/custom/key-populations-unique-situations/treament-renal-impairment"><span class="caption">Treatment of HCV in Persons with Renal Impairment</span></a></li><li class="level2 level2-115"><a href="/custom/key-populations-unique-situations/treatment-substance-use"><span class="caption">Treatment of HCV in Persons with Substance Use</span></a></li><li class="level2 level2-116"><a href="/custom/key-populations-unique-situations/treatment-corrections"><span class="caption">Treatment of HCV in a Correctional Setting</span></a></li><li class="level2 level2-117"><a href="/custom/key-populations-unique-situations/management-health-care-workers-potentially-exposed-to-hcv"><span class="caption">Management of Health Care Personnel Exposed to HCV</span></a></li><li class="level2 level2-118"><a href="/custom/key-populations-unique-situations/perinatal-hcv-transmission"><span class="caption">Perinatal HCV Transmission</span></a></li></ol><ul><li><a href="/custom/key-populations-unique-situations/certificate">Certificate Requirements <span class="cme-tag cme-tag-available">CNE/CME</span></a></li></ul></div><div class="subsubmenu level2s"><a class="description" href="/go/key-populations-situations"><h3>Quick Reference<span class="edition-tag edition-tag-4">4th Edition</span></h3> Rapidly access information in this module</a><ul><li><a href="/go/key-populations-situations">Treatment of Key Populations and Unique Situations: Overview</a></li></ul><h4>Lessons</h4><ol><li class="level2 level2-158"><a href="/go/key-populations-situations/treatment-hiv-coinfection/core-concept/all"><span class="caption">Treatment of HCV in Persons with HIV Coinfection</span></a></li><li class="level2 level2-159"><a href="/go/key-populations-situations/treament-renal-impairment/core-concept/all"><span class="caption">Treatment of HCV in Persons with Renal Impairment</span></a></li><li class="level2 level2-160"><a href="/go/key-populations-situations/treatment-substance-use/core-concept/all"><span class="caption">Treatment of HCV in Persons with Substance Use</span></a></li><li class="level2 level2-161"><a href="/go/key-populations-situations/treatment-corrections/core-concept/all"><span class="caption">Treatment of HCV in a Correctional Setting</span></a></li><li class="level2 level2-162"><a href="/go/key-populations-situations/management-health-care-workers-potentially-exposed-to-hcv/core-concept/all"><span class="caption">Management of Health Care Personnel Exposed to HCV</span></a></li><li class="level2 level2-163"><a href="/go/key-populations-situations/perinatal-hcv-transmission/core-concept/all"><span class="caption">Perinatal HCV Transmission</span></a></li></ol></div></li></ul></div></li><li class="section tools has-submenu"><a href="/page/clinical-calculators/apri" class="link ">Tools &<br /> Calculators<span class="submenu-trigger"></span></a><div class="submenu tools"><ul><li class="section-page section-page-7 has-subsubmenu"><a href="/page/clinical-calculators/ctp" class=""><span class="caption">Clinical Calculators</span><span class="submenu-trigger"></span></a><div class="subsubmenu sections"><ul><li class="tool"><a href="/page/clinical-calculators/ctp" class="">CTP Calculator <em>Child-Turcotte-Pugh (CTP) Calculator</em></a></li><li class="tool"><a href="/page/clinical-calculators/apri" class="">APRI Calculator <em>AST to Platelet Ratio Index (APRI) Calculator</em></a></li><li class="tool"><a href="/page/clinical-calculators/bmi" class="">BMI Calculator <em>Body Mass Index (BMI) Calculator</em></a></li><li class="tool"><a href="/page/clinical-calculators/crcl" class="">CrCl Calculator <em>Creatinine Clearance (CrCl) Calculator</em></a></li><li class="tool"><a href="/page/clinical-calculators/fib-4" class="">FIB-4 Calculator <em>Fibrosis-4 (FIB-4) Calculator</em></a></li><li class="tool"><a href="/page/clinical-calculators/glasgow-coma" class="">Glasgow Coma Scale <em>Glasgow Coma Scale</em></a></li><li class="tool"><a href="/page/clinical-calculators/mdrd" class="">GFR Calculator <em>Glomerular Filtration Rate (GFR) Estimate by MDRD 4-Variable Equation</em></a></li><li class="tool"><a href="/page/clinical-calculators/meld" class="">MELD Calculator <em>Model for End-Stage Liver Disease (MELD) for ages 12 and older</em></a></li><li class="tool"><a href="/page/clinical-calculators/saag" class="">SAAG Calculator <em>Serum-Ascites Albumin Gradient (SAAG)</em></a></li></ul></div></li><li class="section-page section-page-14 has-subsubmenu"><a href="/page/substance-use/audit-c" class=""><span class="caption">Substance Use Screening Tools</span><span class="submenu-trigger"></span></a><div class="subsubmenu sections"><ul><li class="tool"><a href="/page/substance-use/audit-c" class="">Alcohol: AUDIT-C <em>Alcohol Use Disorders Identification Test (AUDIT-C)</em></a></li><li class="tool"><a href="/page/substance-use/cage" class="">Alcohol: CAGE <em>CAGE Alcohol Questionnaire</em></a></li><li class="tool"><a href="/page/substance-use/opioid" class="">Opioid: Risk Tool <em>Opioid Risk Tool (ORT)</em></a></li></ul></div></li></ul></div></li><li class="section ccn"><a href="/page/site/clinical-consultation" class="link has-tooltip">Clinical <br />Consultation</a></li><li class="section expert-opinions"><a href="/page/challenges/expert-opinions" class=" link "><span class="icon"><span class="glyphicon glyphicon-link"></span></span>Clinical <br />Challenges</a></li><li class="section mini-lectures"><a href="/mini-lectures" class="link">Mini-<br>Lectures</a></li><li class="section glossary"><a href="javascript:void(0)" title="Search for any topic" class="link ">Search</a><div id="search-minimal" class="search-interface"><div class="close"></div><div class="search-controls"><label for="search-q">Search for</label><input type="text" name="search-q" id="search-q" class="search-input" placeholder="Terms, medications, lectures, core concepts, etc..." /></div><div class="search-results-container"></div><div class="search-notice"><strong>Use this Search to quickly find items or navigate the site.</strong></div></div></li></ul><div class="user-status"></div></div></div></div></section><div id="wrap" class="content-wrap"> <div id="content"> <div id="notifications"></div><div class="custom-curriculums-header custom-47 custom-type-topical theme-33"><div class="inner"><h2 class="title"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications"><span class="cc-self-study">Self-Study</span><span class="cc-title">Management of Cirrhosis-Related Complications</span></a></h2><div class="custom-curriculum-description">Management of Cirrhosis-Related Complications</div><div class="logged-out-text">Sign In or Register to get started</div></div><div class="menu-wrapper"><ul class="custom-curriculum-menu"><li class="section section-overview no-weight complete"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications" class="link"><span class="glyphicon glyphicon-home"></span><span class="hidden">Overview</span></a></li><li class="section section-119"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/ascites-diagnosis-management" title="Diagnosis and Management of Ascites" class="link"><span class="weight"><span class="num">1</span></span><span class="section-title">Ascites</span></a></li><li class="section section-120"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/spontaneous-bacterial-peritonitis-recognition-management" title="Recognition and Management of Spontaneous Bacterial Peritonitis" class="link"><span class="weight"><span class="num">2</span></span><span class="section-title">Spontaneous Bacterial<br /> Peritonitis</span></a></li><li class="section section-121"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/varices-screening-prevention-bleeding" title="Screening for Varices and Prevention of Bleeding" class="link"><span class="weight"><span class="num">3</span></span><span class="section-title">Screening for Varices<br /> and Prevention of Bleeding</span></a></li><li class="section section-122"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/hepatic-encephalopathy-diagnosis-management" title="Diagnosis and Management of Hepatic Encephalopathy" class="link"><span class="weight"><span class="num">4</span></span><span class="section-title">Hepatic<br /> Encephalopathy</span></a></li><li class="section section-123"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/liver-transplantation-referral" title="Referral for Liver Transplantation" class="link"><span class="weight"><span class="num">5</span></span><span class="section-title">Referral for<br /> Liver Transplantation</span></a></li><li class="section section-test section-test-certificate"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/certificate" class="link"><span class="weight"><span class="num"><span class="glyphicon glyphicon-education"></span></span></span>Certificate of Completion</a></li></ul></div><div class="breadcrumbs"></div><div class="custom-curriculums-intro"><h2 class="section-title section-overview">Management of Cirrhosis-Related Complications</h2><p class="lead">You are just a few steps away from free CE credits!</p><div class="row"><div class="col-xs-6 col-sm-3"><div class="step step-current">1 <span class="glyphicon glyphicon-star"></span></div><h3>Sign in or Register</h3><p>A free account is required.</p></div><div class="col-xs-6 col-sm-3"><div class="step">2</div><h3>Study the Material</h3><p>An entire Cc section, or just a few topics at a time.</p></div><div class="col-xs-6 col-sm-3"><div class="step">3</div><h3>Take the CE Quiz</h3><p>5 questions covering the topics in each Cc section.</p></div><div class="col-xs-6 col-sm-3"><div class="step">4</div><h3>Claim CE Credit</h2><p>Free CNE and Free CME available!</p></div></div><div id="login-window"><a onclick="loginShowWindow()" class="close"></a> <div class="loading-progress"><div class="progress-bar progress-bar-striped active" role="progressbar" aria-valuenow="100" aria-valuemin="0" aria-valuemax="100" style="width: 100%"><span class="sr-only">loading </span></div></div> <div class="inner row"> <div class="col-xs-12 col-sm-4 field field-create"><h2 class="title">New Users</h2><p>Create a free account to get started.</p><p><span class="cme-tag cme-tag-earned"><span class="glyphicon glyphicon-ok-sign"></span> Required for CE</span></p><a href="https://www.hepatitisC.uw.edu/page/account/register" class="create-account btn btn-default">Register <span class="glyphicon glyphicon-chevron-right"></span></a></div> <div class="col-xs-12 col-sm-8 field field-form"> <form method="post" action="/process.php" enctype="multipart/form-data" id="login-form" role="form"><a title="Sign in using your IDEA account." href="https://www.hepatitisC.uw.edu/page/site/sso" class="reading-pane idea-online-login" target="_blank"></a><h2 class="title">Returning Users</h2><div class="alert alert-danger alert-start-hidden" role="alert"> <button type="button" class="close-bs">脳</button> <strong class="alert-title"></strong> <p class="alert-text"></p> </div><input type="hidden" name="action" value="login"> <div class="form-group"> <label for="sign_in_email" class="hidden">E-Mail Address</label><input type="email" required="required" name="username" placeholder="Email Address" class="required form-control" id="sign_in_email"> </div> <div class="form-group"> <label for="sign_in_password" class="hidden">Password</label><input type="password" required="required" id="sign_in_password" name="password" placeholder="Password" class="required form-control"> </div><div class="text-right"> <a href="/page/account/retrieval" class="pull-left"><span class="glyphicon glyphicon-question-sign"></span> Forgot password?</a> <button type="submit" name="sign-in" class="btn btn-primary" data-loading-text="Loading" autocomplete="off" dt-event-click="sign-in"> Sign in <span class="glyphicon glyphicon-log-in"></span> </button> </div> <input type="hidden" name="origin" value="/custom/management-cirrhosis-related-complications" /></form></div></div></div></div></div><div id="page" class="custom custom-47 section-overview menu-closed-forced menu-closed"><div class="inner"><div class="curriculum-overview-container"><div class="inner"><div class="custom-curriculums-home theme-33"><div class="row"><div class="col-xs-12"> <ul class="nav nav-tabs"><li role="presentation" class="active"><a class="" href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/overview/about">About the Module</a></li><li role="presentation" class=""><a class="" href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/overview/requirements">Certificate Requirements</a></li><li role="presentation" class=""><a class="" href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/overview/competencies">Core Competencies</a></li></ul> </div></div><div class="row section section-home-page"><div class="col-xs-12"><div class="custom-curriculums-overview theme-33"><div class="inner"><div class="organization-logo logo-cdc-agreement" title="Funded by Centers for Disease Control and Prevention Cooperative Agreement (CDC-RFA-PS21-2105)"></div><div class="organization-logo logo-uw" title="University of Washington"></div><div class="about-course"><h2 class="section-title section-about"><span class="glyphicon glyphicon-info-sign"></span> About Management of Cirrhosis-Related Complications Self-Study Module</h2><br /><div class="level1s-intro"><div class="row"><div class="col-xs-12 col-sm-5"><div class="content"><div class="section-objectives"><h4 id="objectives" class="title">Core Competency</h4><div class="content"><p class="lead">Apply Evidence-Based Recommendations to Management of Cirrhosis-Related Complications in Persons with HCV Infection</p></div></div></div></div><div class="col-xs-12 col-sm-4"><div class="section-objectives"><h4 id="description" class="title">Target Audience</h4><div class="content">Addresses the diagnosis and management of complications that may arise in person with chronic HCV infection and cirrhosis, including ascites, spontaneous bacterial peritonitis, varicies, hepatic encephalopathy, and referral for liver transplantation.</div></div></div><div class="section-quick-ref col-xs-12 col-sm-3"><h4 id="quick-reference" class="title">Quick Reference</h4><div class="content">You can find all of the topics from this module in the openly accessible <p><a href="/go/management-cirrhosis-related-complications" style="color: rgb(115,57,115);"><strong>Management of Cirrhosis-Related Complications Quick Reference <span class="glyphicon glyphicon-chevron-right"></span></strong></a><br /><em>No Sign In or Registration Required</em></div></div><div class="col-xs-12 col-sm-9 section section-edition"><h3 id="edition" class="title">4th Edition</h3><div class="content"><strong>This is a substantial revision of the original content.</strong> The previous edition was titled <em>Management of Cirrhosis-Related Complications</em> and available until March 15th, 2024.</div></div><div class="col-xs-12"><div class="section section-ce-notices"><div class="page-content-page page-ce-notices section-"><div class="inner"><h3 class="title">Free CME/CNE/CE Notices</h1><div class="content"><p>This site provides continuing education for physicians (MDs), advanced registered nurse practitioners (ARNPs), physician assistants (PAs), nurses, and nurse-midwives.</p> <p>The continuing education activity on this site, including continuing education credit, is provided free of charge. Funding for the site was provided by a grant from the Centers for Disease Control and Prevention (CDC).</p> <h3>Professional Credit for HCV Self Study Modules</h3> <p>Each topic overview and module requires approximately 60 minutes to complete. To apply for continuing education credit:</p> <ol> <li>read the topic overview,</li> <li>complete the activities,</li> <li>correctly answer 80% of the CE questions on the quiz,</li> <li>select either CME or CNE (depending upon your discipline and the certificate you wish to receive),</li> <li>complete and submit the evaluation form,</li> <li>print your own certificate.</li> </ol> <p>Records of all your CE activity on this site can be viewed either on the CNE or CME sites under the header "CME Tracker & CME Certificates" or "CNE Tracker and CNE Certificates."</p> <p>You are welcome to take the self-assessment quizzes even if you do not need continuing education credit. You can submit your answers to track your progress without earning CE credit.</p> <hr /> <div class="panel panel-default"> <div class="panel-heading"> <h3 class="panel-title">Continuing Medical Education (CME) Notice</h3> </div> <div class="panel-body"> <p>This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Alabama School of Medicine (UASOM) and the University of Washington (UW).  The UASOM is accredited by the ACCME to provide continuing medical education for physicians.    </p> <p>The University of Alabama School of Medicine designates this online enduring material for a maximum of 1.0 <em>AMA PRA Category 1 Credit(s)™</em>. Physicians should claim only the credit commensurate with the extent of their participation in the activity.</p> </div> <div class="panel-footer"> <p>If a lesson was successfully completed prior to January 1 of last year, please contact <a href="mailto:cme@uab.edu">cme@uab.edu</a> to request a certificate of completion.</p> </div> </div> <div class="panel panel-default"> <div class="panel-heading"> <h3 class="panel-title">Continuing Nursing Education (CNE) Notice</h3> </div> <div class="panel-body"> <p><strong>Advanced practice nurses, nurses, and other disciplines*</strong>: The number of contact hours to be awarded, including those that qualify for pharmacology CE for advanced practice nurses, is noted in each lesson.</p> <p>The <a href="https://cne.nursing.uw.edu/" target="_blank">University of Washington Continuing Nursing Education (UWCNE)</a> is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.</p> </div> <div class="panel-footer"> <p>*Other disciplines include (however are not limited to): Disease intervention specialists, social workers, case managers, counselors, dietitians, and psychologists. Continuing education (CE) contact hours are awarded (60 minutes = 1 contact hour). Please contact your licensing agency should you have any questions about the acceptability of the certificate.</p> </div> </div></div></div></div></div></div></div></div><div class="inner"></div></div></div></div></div></div></div></div></div><div class="custom-curriculums-pt theme-33"><div id="progress-tracker" class="progress-tracker-container progress-tracker-edition-4"><div class="inner"> <h2 class="title"><i class="glyph-tasks"></i>Self-Study Module Progress Tracker - 4th Edition </h2> <div class="table-wrapper"><table><td class="level1 header empty"></td><td class="level1 header"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/ascites-diagnosis-management" title="Diagnosis and Management of Ascites" class="cc_sections119"><span class="object-type object-type-cc_sections">Lesson 1</span><span class="object-title">Ascites</a><div class="data-content"><div class="section"><ul> <li>Provide a list of causes in the differential diagnosis of ascites</li> <li>Diagnose ascites based on physical examination findings</li> <li>Describe the appropriate technique for performing abdominal paracentesis</li> <li>Summarize appropriate medical management and dietary recommendations for persons with ascites</li> <li>Discuss ascites-associated complications and treatment</li> </ul></div></div></td><td class="level1 header"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/spontaneous-bacterial-peritonitis-recognition-management" title="Recognition and Management of Spontaneous Bacterial Peritonitis" class="cc_sections120"><span class="object-type object-type-cc_sections">Lesson 2</span><span class="object-title">Spontaneous Bacterial<br /> Peritonitis</a><div class="data-content"><div class="section"><ul> <li>Explain the diagnostic criteria for spontaneous bacterial peritonitis</li> <li>Differentiate spontaneous bacterial peritonitis from secondary bacterial peritonitis</li> <li>Select appropriate antimicrobial therapy for persons with spontaneous bacterial peritonitis</li> <li>List indications for initiating primary and secondary bacterial peritonitis prophylaxis</li> <li>Discuss appropriate regimens for primary and secondary bacterial peritonitis prophylaxis</li> </ul></div></div></td><td class="level1 header"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/varices-screening-prevention-bleeding" title="Screening for Varices and Prevention of Bleeding" class="cc_sections121"><span class="object-type object-type-cc_sections">Lesson 3</span><span class="object-title">Screening for Varices<br /> and Prevention of Bleeding</a><div class="data-content"><div class="section"><ul> <li>Explain the basic pathogenesis of cirrhosis-related portal hypertension</li> <li>Describe how to diagnose clinically-significant portal hypertension</li> <li>Discuss the rationale and indications for variceal screening in persons with cirrhosis</li> <li>Summarize recommendations for prophylaxis of variceal bleeding</li> <li>List key aspects of managing acute variceal bleeding</li> </ul></div></div></td><td class="level1 header"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/hepatic-encephalopathy-diagnosis-management" title="Diagnosis and Management of Hepatic Encephalopathy" class="cc_sections122"><span class="object-type object-type-cc_sections">Lesson 4</span><span class="object-title">Hepatic<br /> Encephalopathy</a><div class="data-content"><div class="section"><ul> <li>List the clinical features of persons with hepatic encephalopathy</li> <li>Describe specific diagnostic tests used to diagnose hepatic encephalopathy</li> <li>Summarize the approach to management of persons with hepatic encephalopathy</li> <li>Explain the rationale for using nonabsorbable disaccharides for the treatment of hepatic encephalopathy</li> <li>Discuss the role of antimicrobial therapy for the treatment of hepatic encephalopathy</li> </ul></div></div></td><td class="level1 header"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/liver-transplantation-referral" title="Referral for Liver Transplantation" class="cc_sections123"><span class="object-type object-type-cc_sections">Lesson 5</span><span class="object-title">Referral for<br /> Liver Transplantation</a><div class="data-content"><div class="section"><ul> <li>List the most common indications for cirrhosis-related liver transplantation</li> <li>Discuss the timing of referral for liver transplantation in the United States</li> <li>Use and interpret the Model for End-Stage Liver Disease (MELD) prognostic scoring system</li> <li>Describe the relative contraindications for liver transplantation</li> <li>Summarize the absolute contraindications for liver transplantation</li> </ul></div></div></td><tr class="level2"><td class="level2 header">Topic 1</td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/ascites-diagnosis-management/1" title="Background" class="cc_section119"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/spontaneous-bacterial-peritonitis-recognition-management/1" title="Background" class="cc_section120"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/varices-screening-prevention-bleeding/1" title="Pathophysiology and Portal Dynamics" class="cc_section121"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/hepatic-encephalopathy-diagnosis-management/1" title="Background" class="cc_section122"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/liver-transplantation-referral/1" title="Background" class="cc_section123"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 2</td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/ascites-diagnosis-management/2" title="Evaluation of Ascites" class="cc_section119"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/spontaneous-bacterial-peritonitis-recognition-management/2" title="Diagnosis of Spontaneous Bacterial Peritonitis" class="cc_section120"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/varices-screening-prevention-bleeding/2" title="Diagnosing Clinically Significant Portal Hypertension and Predicting Varices" class="cc_section121"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/hepatic-encephalopathy-diagnosis-management/2" title="Clinical Features" class="cc_section122"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/liver-transplantation-referral/2" title="Indications for Liver Transplantation" class="cc_section123"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 3</td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/ascites-diagnosis-management/3" title="Analysis of Ascitic Fluid" class="cc_section119"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/spontaneous-bacterial-peritonitis-recognition-management/3" title="Treatment of Spontaneous Bacterial Peritonitis" class="cc_section120"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/varices-screening-prevention-bleeding/3" title="Management of Compensated Cirrhosis with Clinically Significant Portal Hypertension" class="cc_section121"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/hepatic-encephalopathy-diagnosis-management/3" title="Diagnosis and Testing" class="cc_section122"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/liver-transplantation-referral/3" title="Timing for Cirrhosis-Related Liver Transplantation" class="cc_section123"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 4</td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/ascites-diagnosis-management/4" title="Basic Management of Ascites" class="cc_section119"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/spontaneous-bacterial-peritonitis-recognition-management/4" title="Indications for Spontaneous Bacterial Peritonitis Prophylaxis" class="cc_section120"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/varices-screening-prevention-bleeding/4" title="Prophylaxis of Variceal Bleeding" class="cc_section121"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/hepatic-encephalopathy-diagnosis-management/4" title="Approach to the Management of Hepatic Encephalopathy" class="cc_section122"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/liver-transplantation-referral/4" title="Contraindications to Liver Transplantation" class="cc_section123"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 5</td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/ascites-diagnosis-management/5" title="Management of Refractory Ascites" class="cc_section119"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/spontaneous-bacterial-peritonitis-recognition-management/5" title="Regimens for Spontaneous Bacterial Peritonitis Prophylaxis" class="cc_section120"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/varices-screening-prevention-bleeding/5" title="Treatment of Acute Variceal Bleeding" class="cc_section121"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/hepatic-encephalopathy-diagnosis-management/5" title="Medical Therapy for Overt Hepatic Encephalopathy" class="cc_section122"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/liver-transplantation-referral/5" title="Finding Information About Liver Transplant Centers" class="cc_section123"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 6</td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/ascites-diagnosis-management/6" title="Complications Associated with Ascites" class="cc_section119"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/spontaneous-bacterial-peritonitis-recognition-management/6" title="Summary Points" class="cc_section120"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/varices-screening-prevention-bleeding/6" title="Secondary Prophylaxis of Variceal Bleeding" class="cc_section121"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/hepatic-encephalopathy-diagnosis-management/6" title="Summary Points" class="cc_section122"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/liver-transplantation-referral/6" title="Transplantation Evaluation" class="cc_section123"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 7</td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/ascites-diagnosis-management/7" title="Summary Points" class="cc_section119"> </a><div class="data-content"></div></td><td class="level2 level1 empty"></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/varices-screening-prevention-bleeding/7" title="Summary Points" class="cc_section121"> </a><div class="data-content"></div></td><td class="level2 level1 empty"></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/liver-transplantation-referral/7" title="Summary Points" class="cc_section123"> </a><div class="data-content"></div></td></tr> <tr class="level2 level2-ce"><td class="level2 level2-ce header">CE Quiz</td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/ascites-diagnosis-management/quiz" title="Ascites CE Quiz" class="cc_section119"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/spontaneous-bacterial-peritonitis-recognition-management/quiz" title="Spontaneous Bacterial<br /> Peritonitis CE Quiz" class="cc_section120"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/varices-screening-prevention-bleeding/quiz" title="Screening for Varices<br /> and Prevention of Bleeding CE Quiz" class="cc_section121"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/hepatic-encephalopathy-diagnosis-management/quiz" title="Hepatic<br /> Encephalopathy CE Quiz" class="cc_section122"> </a><div class="data-content"></div></td><td class="level2 level1"><a href="https://www.hepatitisC.uw.edu/custom/management-cirrhosis-related-complications/liver-transplantation-referral/quiz" title="Referral for<br /> Liver Transplantation CE Quiz" class="cc_section123"> </a><div class="data-content"></div></td></tr></table></div></div></div><div id="progress-tracker" class="progress-tracker-container progress-tracker-edition-3"><div class="inner"> <h2 class="title"><i class="glyph-tasks"></i>Self-Study Module Progress Tracker - 3rd Edition </h2> <div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Self-Study Module. </div> <div class="table-wrapper"><table><td class="level1 header empty"></td><td class="level1 header"><a title="Diagnosis and Management of Ascites" class="cc_sections77"><span class="object-type object-type-cc_sections">Lesson 1</span><span class="object-title">Ascites</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>Describe the appropriate technique for performing abdominal paracentesis</li> <li>Summarize appropriate medical management and dietary recommendations for persons with ascites</li> <li>Discuss ascites-associated complications and treatment</li> </ul></div></div></td><td class="level1 header"><a title="Recognition and Management of Spontaneous Bacterial Peritonitis" class="cc_sections78"><span class="object-type object-type-cc_sections">Lesson 2</span><span class="object-title">Spontaneous Bacterial<br /> Peritonitis</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>Differentiate spontaneous bacterial peritonitis from secondary bacterial peritonitis</li> <li>Select and utilize appropriate antimicrobial therapy for persons with spontaneous bacterial peritonitis</li> <li>Explain the importance of distinguishing secondary bacterial peritonitis from spontaneous bacterial peritonitis</li> </ul></div></div></td><td class="level1 header"><a title="Screening for Varices and Prevention of Bleeding" class="cc_sections79"><span class="object-type object-type-cc_sections">Lesson 3</span><span class="object-title">Screening for Varices<br /> and Prevention of Bleeding</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>Discuss the rationale for variceal screening in persons with cirrhosis</li> <li>Identify individuals with cirrhosis who should receive primary prophylaxis against variceal bleeding</li> <li>Use nonselective beta-blockers as prophylaxis against variceal bleeding when prophylaxis is indicated</li> </ul></div></div></td><td class="level1 header"><a title="Diagnosis and Management of Hepatic Encephalopathy" class="cc_sections80"><span class="object-type object-type-cc_sections">Lesson 4</span><span class="object-title">Hepatic<br /> Encephalopathy</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>List the clinical features of persons with hepatic encephalopathy</li> <li>Summarize specific diagnostic tests used to diagnose hepatic encephalopathy</li> <li>Use appropriate medical therapy for persons with hepatic encephalopathy</li> </ul></div></div></td><td class="level1 header"><a title="Referral for Liver Transplantation" class="cc_sections81"><span class="object-type object-type-cc_sections">Lesson 5</span><span class="object-title">Referral for<br /> Liver Transplantation</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>Summarize the indications and timing for cirrhosis-related liver transplantation evaluation and referral</li> <li>Use and interpret the Model for End-Stage Liver Disease (MELD) prognostic scoring system</li> <li>Discuss the absolute and relative contradictions for liver transplantation</li> </ul></div></div></td><tr class="level2"><td class="level2 header">Topic 1</td><td class="level2 level1"><a title="Background" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Background" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Pathophysiology and Portal Dynamics" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Background" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Background" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 2</td><td class="level2 level1"><a title="Evaluation of Ascites" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Diagnosis of Spontaneous Bacterial Peritonitis" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Indications, Methods, and Follow-Up for Variceal Screening" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Clinical Features" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Indications for Liver Transplantation" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 3</td><td class="level2 level1"><a title="Analysis of Ascitic Fluid" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Treatment of Spontaneous Bacterial Peritonitis" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Prophylaxis of Variceal Bleeding" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Diagnosis and Testing" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Timing for Cirrhosis-Related Liver Transplantation" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 4</td><td class="level2 level1"><a title="Basic Management of Ascites" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Indications for Spontaneous Bacterial Peritonitis Prophylaxis" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Treatment of Acute Variceal Bleeding" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Approach to the Management of Hepatic Encephalopathy" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Contraindications to Liver Transplantation" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 5</td><td class="level2 level1"><a title="Management of Refractory Ascites" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Regimens for Spontaneous Bacterial Peritonitis Prophylaxis" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Secondary Prophylaxis of Variceal Bleeding" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Medical Therapy for Overt Hepatic Encephalopathy" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Finding Information About Liver Transplant Centers" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 6</td><td class="level2 level1"><a title="Complications Associated with Ascites" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Summary Points" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Summary Points" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Summary Points" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Transplantation Evaluation" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 7</td><td class="level2 level1"><a title="Summary Points" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1 empty"></td><td class="level2 level1 empty"></td><td class="level2 level1 empty"></td><td class="level2 level1"><a title="Summary Points" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2 level2-ce"><td class="level2 level2-ce header">CE Quiz</td><td class="level2 level1"><a title="Ascites CE Quiz" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Spontaneous Bacterial<br /> Peritonitis CE Quiz" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Screening for Varices<br /> and Prevention of Bleeding CE Quiz" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Hepatic<br /> Encephalopathy CE Quiz" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Referral for<br /> Liver Transplantation CE Quiz" class="cc_section81"> </a><div class="data-content"></div></td></tr></table></div></div></div><div id="progress-tracker" class="progress-tracker-container progress-tracker-edition-2"><div class="inner"> <h2 class="title"><i class="glyph-tasks"></i>Self-Study Module Progress Tracker - 2nd Edition </h2> <div class="alert alert-info"><strong>2nd Edition</strong>. There is a newer edition of this Self-Study Module. </div> <div class="table-wrapper"><table><td class="level1 header empty"></td><td class="level1 header"><a title="Diagnosis and Management of Ascites" class="cc_sections77"><span class="object-type object-type-cc_sections">Lesson 1</span><span class="object-title">Ascites</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>Describe the appropriate technique for performing abdominal paracentesis</li> <li>Summarize appropriate medical management and dietary recommendations for persons with ascites</li> <li>Discuss ascites-associated complications and treatment</li> </ul></div></div></td><td class="level1 header"><a title="Recognition and Management of Spontaneous Bacterial Peritonitis" class="cc_sections78"><span class="object-type object-type-cc_sections">Lesson 2</span><span class="object-title">Spontaneous Bacterial<br /> Peritonitis</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>Differentiate spontaneous bacterial peritonitis from secondary bacterial peritonitis</li> <li>Select and utilize appropriate antimicrobial therapy for persons with spontaneous bacterial peritonitis</li> <li>Explain the importance of distinguishing secondary bacterial peritonitis from spontaneous bacterial peritonitis</li> </ul></div></div></td><td class="level1 header"><a title="Screening for Varices and Prevention of Bleeding" class="cc_sections79"><span class="object-type object-type-cc_sections">Lesson 3</span><span class="object-title">Screening for Varices<br /> and Prevention of Bleeding</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>Discuss the rationale for variceal screening in persons with cirrhosis</li> <li>Identify individuals with cirrhosis who should receive primary prophylaxis against variceal bleeding</li> <li>Use nonselective beta-blockers as prophylaxis against variceal bleeding when prophylaxis is indicated</li> </ul></div></div></td><td class="level1 header"><a title="Diagnosis and Management of Hepatic Encephalopathy" class="cc_sections80"><span class="object-type object-type-cc_sections">Lesson 4</span><span class="object-title">Hepatic<br /> Encephalopathy</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>List the clinical features of persons with hepatic encephalopathy</li> <li>Summarize specific diagnostic tests used to diagnose hepatic encephalopathy</li> <li>Use appropriate medical therapy for persons with hepatic encephalopathy</li> </ul></div></div></td><td class="level1 header"><a title="Referral for Liver Transplantation" class="cc_sections81"><span class="object-type object-type-cc_sections">Lesson 5</span><span class="object-title">Referral for<br /> Liver Transplantation</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>Summarize the indications and timing for cirrhosis-related liver transplantation evaluation and referral</li> <li>Use and interpret the Model for End-Stage Liver Disease (MELD) prognostic scoring system</li> <li>Discuss the absolute and relative contradictions for liver transplantation</li> </ul></div></div></td><tr class="level2"><td class="level2 header">Topic 1</td><td class="level2 level1"><a title="Background" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Background" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Pathophysiology and Portal Dynamics" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Background" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Background" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 2</td><td class="level2 level1"><a title="Evaluation of Ascites" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Diagnosis of Spontaneous Bacterial Peritonitis" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Indications, Methods, and Follow-Up for Variceal Screening" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Clinical Features" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Indications for Liver Transplantation" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 3</td><td class="level2 level1"><a title="Analysis of Ascitic Fluid" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Treatment of Spontaneous Bacterial Peritonitis" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Prophylaxis of Variceal Bleeding" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Diagnosis and Testing" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Timing for Cirrhosis-Related Liver Transplantation" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 4</td><td class="level2 level1"><a title="Basic Management of Ascites" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Indications for Spontaneous Bacterial Peritonitis Prophylaxis" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Treatment of Acute Variceal Bleeding" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Approach to the Management of Hepatic Encephalopathy" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Contraindications to Liver Transplantation" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 5</td><td class="level2 level1"><a title="Management of Refractory Ascites" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Regimens for Spontaneous Bacterial Peritonitis Prophylaxis" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Secondary Prophylaxis of Variceal Bleeding" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Medical Therapy for Overt Hepatic Encephalopathy" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Finding Information About Liver Transplant Centers" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 6</td><td class="level2 level1"><a title="Complications Associated with Ascites" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Summary Points" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Summary Points" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Summary Points" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Transplantation Evaluation" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 7</td><td class="level2 level1"><a title="Summary Points" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1 empty"></td><td class="level2 level1 empty"></td><td class="level2 level1 empty"></td><td class="level2 level1"><a title="Summary Points" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2 level2-ce"><td class="level2 level2-ce header">CE Quiz</td><td class="level2 level1"><a title="Ascites CE Quiz" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Spontaneous Bacterial<br /> Peritonitis CE Quiz" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Screening for Varices<br /> and Prevention of Bleeding CE Quiz" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Hepatic<br /> Encephalopathy CE Quiz" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Referral for<br /> Liver Transplantation CE Quiz" class="cc_section81"> </a><div class="data-content"></div></td></tr></table></div></div></div><div id="progress-tracker" class="progress-tracker-container progress-tracker-edition-1"><div class="inner"> <h2 class="title"><i class="glyph-tasks"></i>Self-Study Module Progress Tracker - 1st Edition </h2> <div class="alert alert-info"><strong>1st Edition</strong>. There is a newer edition of this Self-Study Module. </div> <div class="table-wrapper"><table><td class="level1 header empty"></td><td class="level1 header"><a title="Diagnosis and Management of Ascites" class="cc_sections77"><span class="object-type object-type-cc_sections">Lesson 1</span><span class="object-title">Ascites</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>Describe the appropriate technique for performing abdominal paracentesis</li> <li>Summarize appropriate medical management and dietary recommendations for persons with ascites</li> <li>Discuss ascites-associated complications and treatment</li> </ul></div></div></td><td class="level1 header"><a title="Recognition and Management of Spontaneous Bacterial Peritonitis" class="cc_sections78"><span class="object-type object-type-cc_sections">Lesson 2</span><span class="object-title">Spontaneous Bacterial<br /> Peritonitis</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>Differentiate spontaneous bacterial peritonitis from secondary bacterial peritonitis</li> <li>Select and utilize appropriate antimicrobial therapy for persons with spontaneous bacterial peritonitis</li> <li>Explain the importance of distinguishing secondary bacterial peritonitis from spontaneous bacterial peritonitis</li> </ul></div></div></td><td class="level1 header"><a title="Screening for Varices and Prevention of Bleeding" class="cc_sections79"><span class="object-type object-type-cc_sections">Lesson 3</span><span class="object-title">Screening for Varices<br /> and Prevention of Bleeding</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>Discuss the rationale for variceal screening in persons with cirrhosis</li> <li>Identify individuals with cirrhosis who should receive primary prophylaxis against variceal bleeding</li> <li>Use nonselective beta-blockers as prophylaxis against variceal bleeding when prophylaxis is indicated</li> </ul></div></div></td><td class="level1 header"><a title="Diagnosis and Management of Hepatic Encephalopathy" class="cc_sections80"><span class="object-type object-type-cc_sections">Lesson 4</span><span class="object-title">Hepatic<br /> Encephalopathy</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>List the clinical features of persons with hepatic encephalopathy</li> <li>Summarize specific diagnostic tests used to diagnose hepatic encephalopathy</li> <li>Use appropriate medical therapy for persons with hepatic encephalopathy</li> </ul></div></div></td><td class="level1 header"><a title="Referral for Liver Transplantation" class="cc_sections81"><span class="object-type object-type-cc_sections">Lesson 5</span><span class="object-title">Referral for<br /> Liver Transplantation</a><div class="data-content"><div class="section"><div class="alert alert-info"><strong>3rd Edition</strong>. There is a newer edition of this Lesson. This is your progress from the previous edition (3rd).</div><ul> <li>Summarize the indications and timing for cirrhosis-related liver transplantation evaluation and referral</li> <li>Use and interpret the Model for End-Stage Liver Disease (MELD) prognostic scoring system</li> <li>Discuss the absolute and relative contradictions for liver transplantation</li> </ul></div></div></td><tr class="level2"><td class="level2 header">Topic 1</td><td class="level2 level1"><a title="Background" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Background" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Pathophysiology and Portal Dynamics" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Background" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Background" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 2</td><td class="level2 level1"><a title="Evaluation of Ascites" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Diagnosis of Spontaneous Bacterial Peritonitis" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Indications, Methods, and Follow-Up for Variceal Screening" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Clinical Features" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Indications for Liver Transplantation" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 3</td><td class="level2 level1"><a title="Analysis of Ascitic Fluid" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Treatment of Spontaneous Bacterial Peritonitis" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Prophylaxis of Variceal Bleeding" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Diagnosis and Testing" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Timing for Cirrhosis-Related Liver Transplantation" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 4</td><td class="level2 level1"><a title="Basic Management of Ascites" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Indications for Spontaneous Bacterial Peritonitis Prophylaxis" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Treatment of Acute Variceal Bleeding" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Approach to the Management of Hepatic Encephalopathy" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Contraindications to Liver Transplantation" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 5</td><td class="level2 level1"><a title="Management of Refractory Ascites" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Regimens for Spontaneous Bacterial Peritonitis Prophylaxis" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Secondary Prophylaxis of Variceal Bleeding" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Medical Therapy for Overt Hepatic Encephalopathy" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Finding Information About Liver Transplant Centers" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 6</td><td class="level2 level1"><a title="Complications Associated with Ascites" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Summary Points" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Summary Points" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Summary Points" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Transplantation Evaluation" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2"><td class="level2 header">Topic 7</td><td class="level2 level1"><a title="Summary Points" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1 empty"></td><td class="level2 level1 empty"></td><td class="level2 level1 empty"></td><td class="level2 level1"><a title="Summary Points" class="cc_section81"> </a><div class="data-content"></div></td></tr> <tr class="level2 level2-ce"><td class="level2 level2-ce header">CE Quiz</td><td class="level2 level1"><a title="Ascites CE Quiz" class="cc_section77"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Spontaneous Bacterial<br /> Peritonitis CE Quiz" class="cc_section78"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Screening for Varices<br /> and Prevention of Bleeding CE Quiz" class="cc_section79"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Hepatic<br /> Encephalopathy CE Quiz" class="cc_section80"> </a><div class="data-content"></div></td><td class="level2 level1"><a title="Referral for<br /> Liver Transplantation CE Quiz" class="cc_section81"> </a><div class="data-content"></div></td></tr></table></div></div></div></div></div></div> </div> </div> <div id="sponsors"> <div class="inner"> <div class="sponsor sponsor-primary cdc-agreement"> <div class="sponsor-context">Funded by</div> <div class="sponsor-name">Centers for Disease Control and Prevention Cooperative Agreement (CDC-RFA-PS21-2105)</div> </div> <div class="sponsor uw"> <span class="sponsor-context">Created at</span> <a href="https://www.washington.edu" target="_blank">University of Washington</a> </div> <div class="sponsor idea"> <span class="sponsor-context">Part of</span> <a href="https://idea.medicine.uw.edu" target="_blank">IDEA Platform</a> </div> </div> </div> <div id="cebar"> <div class="inner"> <div class="sponsor uab"><span class="sponsor-context">CME provided by</span><a href="https://www.uab.edu/medicine/cme/" target="_blank">University of Alabama Birmingham</a></div> <div class="sponsor uwnursing"><span class="sponsor-context">CNE provided by</span><a href="https://cne.nursing.uw.edu/" target="_blank">University of Washington School of Nursing</a></div> </div> </div> <div id="footer"> <div class="inner clearfix"> <div class="menu"> <ul class="footer-menu"><li class="section section-nhcvc-medications treatments"><a href="/page/treatment/drugs">HCV Medications</a><ul class="footer-submenu"><li><a href="/page/treatment/drugs/elbasvir-grazoprevir">Elbasvir-Grazoprevir (<em>Zepatier</em>)</a></li><li><a href="/page/treatment/drugs/glecaprevir-pibrentasvir">Glecaprevir-Pibrentasvir (<em>Mavyret</em>)</a></li><li><a href="/page/treatment/drugs/ledipasvir-sofosbuvir">Ledipasvir-Sofosbuvir (<em>Harvoni</em>)</a></li><li><a href="/page/treatment/drugs/ribavirin-drug">Ribavirin (<em>Copegus, Rebetol, Ribasphere</em>)</a></li><li><a href="/page/treatment/drugs/sofosbuvir-drug">Sofosbuvir (<em>Sovaldi</em>)</a></li><li><a href="/page/treatment/drugs/epclusa">Sofosbuvir-Velpatasvir (<em>Epclusa</em>)</a></li><li><a href="/page/treatment/drugs/sofosbuvir-velpatasvir-voxilaprevir">Sofosbuvir-Velpatasvir-Voxilaprevir (<em>Vosevi</em>)</a></li></ul></li><li class="section section-modules"><a href="/alternate">Course Modules</a><ul class="footer-submenu"><li><a href="/go/screening-diagnosis">Screening and Diagnosis of Hepatitis C Infection</a></li><li><a href="/go/evaluation-staging-monitoring">Evaluation, Staging, and Monitoring of Chronic Hepatitis C</a></li><li><a href="/go/management-cirrhosis-related-complications">Management of Cirrhosis-Related Complications</a></li><li><a href="/go/evaluation-treatment">Evaluation and Preparation for Hepatitis C Treatment</a></li><li><a href="/go/treatment-infection">Treatment of Hepatitis C Infection</a></li><li><a href="/go/key-populations-situations">Treatment of Key Populations and Unique Situations</a></li></ul></li><li class="section section-group"><a href="/page/challenges/expert-opinions">Clinical Challenges</a><a href="/page/site/clinical-consultation">Clinical Consultation</a><a href="/page/site/bibliography">Master Bibliography</a><br /><a href="/page/site/contributors">Contributors</a><li class="section section-tools"><a href="/page/clinical-calculators/ctp">Tools & Calculators</a><ul class="footer-submenu submenu-count-12"><li><a href="/page/clinical-calculators/ctp">Clinical Calculators</a></li><li><a href="/page/substance-use/audit-c">Substance Use Screening Tools</a></li></ul></li></ul> </div> <div class="left"><strong>Copyright © 2024 Hepatitis C Online</strong> <div class="version text-muted"><a href="http://support.idea.medicine.uw.edu/idea-platform-and-this-curriculum" target="_blank">Version <span class="version-num">nhcvc-master-c8843673-2024-11-13-205624 </span> - AWS</a></div> </div> <div class="right"> <a href="/page/site/contact-us">Contact Us</a> | <a href="/page/site/terms-conditions">Terms and Conditions</a> | <a href="/page/site/privacy-policy">Privacy Policy</a><br /><a href="/page/site/ce-notices">CE (CNE/CME) Notices</a> | <a href="/page/site/copyright">Copyright and Attribution Notices</a></div> </div> <div id="idea-platform"> <div class="inner"> <a href="https://idea.medicine.uw.edu" class="logo-footer-idea" title="IDEA platform" target="_blank">part of the IDEA platform</a> </div> </div> </div> <div id="popupblocker-message" title="Claim CE Credit"> <p><span class="ui-icon ui-icon-circle-check" style="float: left; margin: 0 7px 50px 0;"></span> <strong>Since you've received 80% or better on this quiz, you may claim continuing education credit.</strong> </p> <p class="popupblocked"> <span class="ui-icon ui-icon-newwin" style="float: left; margin: 0 7px 50px 0;"></span> You seem to have a popup blocker enabled. If you want to skip this dialog please <em>Always allow popup windows for the online course</em>. </p> </div> <script type="text/javascript" src="//cdn.hepatitisc.uw.edu/scripts/bootstrap.min.js?v=bmhjdmMtbWFzdGVyLWM4ODQzNjczLTIwMjQtMTEtMTMtMjA1NjI0Cg"></script> <div class="hidden">Current Version: nhcvc-master-c8843673-2024-11-13-205624 </div> <script type="text/javascript"> setTimeout(function(){var a=document.createElement("script"); var b=document.getElementsByTagName("script")[0]; a.src=document.location.protocol+"//script.crazyegg.com/pages/scripts/0032/9964.js?"+Math.floor(new Date().getTime()/3600000); a.async=true;a.type="text/javascript";b.parentNode.insertBefore(a,b)}, 1); </script> <script type="text/javascript"> window.intercomSettings = { app_id: "k094rs86", }; </script> <script type="text/javascript">(function(){var w=window;var ic=w.Intercom;if(typeof ic==="function"){ic('reattach_activator');ic('update',intercomSettings);}else{var d=document;var i=function(){i.c(arguments)};i.q=[];i.c=function(args){i.q.push(args)};w.Intercom=i;function l(){var s=d.createElement('script');s.type='text/javascript';s.async=true;s.src='https://widget.intercom.io/widget/k094rs86';var x=d.getElementsByTagName('script')[0];x.parentNode.insertBefore(s,x);}if(w.attachEvent){w.attachEvent('onload',l);}else{w.addEventListener('load',l,false);}}})()</script> <script type="text/javascript"> $(document).ready(function(){ if($("body").hasClass("mobile") && $("#page").hasClass("page-question")){ $(".intercom-launcher-frame").attr("style", "bottom: 50px !important; right: 0px !important; transform: scale(0.7);"); } }); </script> <script type="text/javascript"> function pageNavigationNextButtonText(dir){ if($(".level4s-tabs").length){ var dif = $(".level4s-tabs .ui-tabs-panel").length-level4s_tab-dir; $(".page-navigation .next .skip").remove(); if(dif-2==0){ $(".page-navigation .next .button span").html("Activity Quiz"+nextTriangle); }else if($(".answered").length && $(".quiz").length){ $(".page-navigation .next .button").html("Next Lesson"+nextTriangle); }else if(dif-1==0){ $(".page-navigation .next .button").html("Check Answers"+nextTriangle); $(".page-navigation .next .button").clone().addClass("skip").prependTo(".logged-in .page-navigation .next").click(function(){document.location = '';}).attr("onclick",""); $(".page-navigation .next .skip").html("Skip Quiz"+nextTriangle); }else{ $(".page-navigation .next .button-next").html("Next"+nextTriangle); } } if($(".quiz .answered").length){ $(".page-navigation .next .button-next").html("Next"+nextTriangle); $(".page-navigation .next .button-cme").html("Claim CME Credit"+nextCheck); $(".page-navigation .next .button-cne").html("Claim CNE Credit"+nextCheck); } if($(".section-self-assessment .answered").length){ $(".page-navigation .next .button-next").html("Next"+nextTriangle); } } </script> <script type="text/javascript"> /* Search Class */ var search_timeout; var active_nav; var body_classes; $("document").ready(function(){ $("#search-minimal,.level1-navigation .section.glossary a.link").click(function(e){ e.stopPropagation(); activateSearch(); }); $("#search-minimal .close,#search-overlay").click(function(e){ e.stopPropagation(); deactivateSearch(); }); $("#search-q").keyup(function(){ activateSearch(); $("#search-minimal .search-controls").addClass("loading"); clearTimeout(search_timeout); search_timeout = setTimeout("executeSearch('"+$(this).val()+"')",500); }).click(function(e){ e.stopPropagation(); activateSearch(); }); $("html").click(function(){ deactivateSearch(); }); $('<div id="search-overlay"></div>').hide().appendTo("body"); if($("body").hasClass("mobile")){ $("#search-q").focus(function(){ fieldFocus(); setTimeout("fieldFocus();",250); }).focusout(function(){ setTimeout("checkMobileMenuHeight();",500); }); } }); function fieldFocus(){ $(".level1-navigation").scrollTop($(".level1-navigation .section.glossary").position().top - $(".level1-navigation ul.main-menu").position().top); } function executeSearch(phrase){ $("#search-minimal .search-results-container").load(base_url+"process.php",{action: "search",q: phrase},function(){ $("#search-minimal .search-controls").removeClass("loading"); if($("body").hasClass("menu-open")){ checkMobileMenuHeight(); fieldFocus(); } }); } function activateSearch(){ $("#search-minimal").addClass("active").show(0); $(".level1-navigation .section.glossary").addClass("active-trail"); if($("body").hasClass("menu-open")){ }else{ $("#search-q").focus(); } } function deactivateSearch(){ if($("body").hasClass("mobile")){ return; } $("#search-minimal").removeClass("active").hide(0); $(".level1-navigation .section.glossary").removeClass("active-trail"); $("#search-overlay").fadeTo(500,0).hide(); if($("body.action-custom").length==0){ $(".level1-navigation li.section,.level1-navigation li.module").not(".glossary,.home-section").fadeTo(500,1.0); } } </script> <script type="text/javascript"> var highlightedRef = 0; /* References Class */ function referencesSetup(){ $(".reference-group").popover({trigger: 'click', placement: 'bottom', container: "body", html: true, content: function(){ var data = '<div class="references"><span class="close"></span>'; $(this).find("a.ref").each(function(){ data += '<div class="reference-group">'+$($(this).attr("href")).html()+'</div>'; }); data += '</div>'; return data; }, customClass: 'references' }); $(".reference-group a").click(function(e){ e.preventDefault(); return; }); $("body").off("click",".popover .references .close"); $("body").off("click",".popover .references .reference-group"); $("body").on("click",".popover .references .close",function(){ $(".reference-group").popover('hide'); }); $("body").on("click",".popover .references .reference-group",function(){ $(this).find("a.link").click(); }); //Reference highlight on page $("ol.refs .ref .highlight-ref").click(function(){ $(".reference-group.reference-inline").not($("a.ref[href=#"+$(this).parents("li.ref").attr('id')+"]").parent()).removeClass("highlight"); $("ol.refs .ref").not($(this).parents("li.ref")).removeClass("highlight"); $("a.ref[href=#"+$(this).parents("li.ref").attr('id')+"]").parent().toggleClass("highlight"); $(this).parents("li.ref").toggleClass("highlight"); }); } $(document).ready(function(){ referencesSetup(); }); </script> <script type="text/javascript"> /* Bundles Class */ $(document).ready(function(){ if($("#page-content .inner .bundles").length){ $("#page-content .inner .bundles .content-selector").jstree({ "checkbox" : { "keep_selected_style" : true, "three_state" : false, "cascade" : "" }, "types" : { "default": { "icon" : "" }, "level1s": { "icon" : "glyph-modules" }, "level2s": { "icon" : "glyph-lessons" }, "audio_slide_set": { "icon" : "ui-icon ui-icon-powerpoint" }, "URL": { "icon" : "ui-icon ui-icon-extlink" }, "calculator": { "icon" : "ui-icon ui-icon-calculator" }, "core_concept": { "icon" : "ui-icon ui-icon-note" }, "treatments": { "icon" : "glyph-pills" }, "treatment_drug_trials": { "icon" : "glyph-drug-trials" } }, "plugins" : [ "checkbox" , "types", "wholerow", "search"] }).on('changed.jstree', function (e, data) { var i, j, r = [], ids = []; for(i = 0, j = data.selected.length; i < j; i++) { ids.push(data.instance.get_node(data.selected[i]).data.jstree.data); } $('.ui-tabs-active a span.count').remove(); $('<span class="count"> <span class="label label-primary">'+ids.length+'</span></span>').appendTo("li.content a"); //save selected to server act("bundleContentUpdate",ids.join(",")); }); var initial = $("#page-content .inner .bundles .content-selector li.active").length; $('<span class="count"> <span class="label label-primary">'+initial+'</span></span>').appendTo("li.content a"); var initial_rec = $("#page-content .inner .bundles #invitees .recipient").length; $('<span class="count"> <span class="label label-primary">'+initial_rec+'</span></span>').appendTo("li.recipients a"); var to = false; $('#page-content .inner .bundles .content-search').keyup(function () { if(to) { clearTimeout(to); } to = setTimeout(function () { var v = $('#page-content .inner .bundles .content-search').val(); $('#page-content .inner .bundles .content-selector').jstree(true).search(v); }, 250); }); } }); </script> <script type="text/javascript"> /* Custom Curriculum Class */ $(document).ready(function() { if($("body.action-custom").length){ //Make information banner clickable $(".custom-curriculums-info .title").click(function(){ document.location = $(this).find("a").attr("href"); }); //$(".section-print.certificate-ready").prependTo($("#page .certificate-requirements")); //Hide figures that are unrelated var i = 0; var hidden = 0; $(".section-figures .documents .document").each(function(){ if($(this).parent(".doc-series").length==0){ i++; if($(".core-concepts-text a.linked-doc-"+i).length==0){ $(this).remove(); hidden++; } } }); if(hidden==i){ $(".section.section-figures").remove(); } //Hide inline tables that are unrelated var i = 0; var hidden_t = 0; $(".section-tables .inline-table").each(function(){ i++; if($(".core-concepts-text div.inline-table-copy.inline-table-"+i).length==0){ $(this).remove(); hidden_t++; } }); if(hidden_t==i){ $(".section.section-tables").remove(); } if($("body").hasClass("mobile")){ var width = $(".custom-curriculums-header .menu-wrapper").width(); var scrolled = $(".custom-curriculums-header .menu-wrapper").scrollLeft(); var offset = $(".custom-curriculums-header .menu-wrapper li.section.active-trail").offset().left+$(".custom-curriculums-header .menu-wrapper li.section.active-trail").width(); if(scrolled+width<offset){ $(".custom-curriculums-header .menu-wrapper").scrollLeft(offset); } } }else{ $(".custom-curriculums-info .close").click(function(){ var request = $.ajax({ url: base_url+"json.php", method: "GET", data: { action : "setCustomCurriculum", "to": 0 }, dataType: "json" }); $(".custom-curriculums-info").remove(); }); } }); </script> <script type="text/javascript"> /* Expert Opinion Class */ $("document").ready(function(){ setupExpertOpinions(); if($("#cases-holder .case").hasClass("layout-full")){ sharePage(); } }); function setupExpertOpinions(){ if($("#page.page-expert-opinions").length){ //Hide unanswered if($("#cases-holder .section-results").hasClass("unanswered")){ $(".section-results").slideUp(0); $("#cases-holder").addClass("unanswered"); }else{ //Answered $(".section-question .opt").remove(); $(".section-question .page-navigation").remove(); $("#cases-holder").removeClass("unanswered"); } $("#cases-holder .opinion.opinion-full").each(function(){ $(this).css("min-height",20+$(this).find(".opinion-info").height()); }); } } function expertOpinionsLoadUrl(url,pushed_url){ $("#cases-holder").addClass("loading"); $("#cases-holder .case").addClass("disappear"); ajax_request = $.ajax({ type: 'GET',url: url, success:function(data){ var html_data = $.parseHTML(data); var nodes = $(html_data).find("#cases-holder .case"); var i = 0; var j = $("#cases-holder .case.disappear").length; $("#cases-holder .case.disappear").each(function(){ $(this).delay(10*i).hide(100, function(){ $(this).remove(); }); i++; }); $(nodes).each(function(){ $(this).addClass("appear"); var id = $(this).attr("id"); $("#page-content #cases-holder > .inner").append(this); setupExpertOpinions(); if($("#cases-holder #"+id).hasClass("layout-full")){ $("#cases-holder #"+id).show(0).removeClass("appear"); centerOptions("#cases-holder"); setupShare(); sharePage(); }else{ $("#cases-holder #"+id).hide(0).delay(100+10*j).show(200,function(){ $(this).removeClass("appear"); }); } j++; }); $("#cases-holder").removeClass("loading"); //Display images documentsFullScreen(".section-question .document"); $(".section-question .background a.document,.section-question .background .document a.image").colorbox({ onComplete: function(){colorBoxSetup()}, title: function(){ var desc = $(this).attr('alt'); var title = $(this).attr('title'); if(title==""){ title = $(this).attr('data-original-title'); } return '<strong>'+title+'</strong><br />'+desc; }, maxWidth: "70%"}); swapImagesToHQ(1); //Data toggle $('#cases-holder .has-tooltip,#cases-holder [data-toggle="tooltip"]').tooltip({html: true, container: 'body'}); if(pushed_url){ var stateObj = { foo: "bar" }; history.pushState(stateObj, "", pushed_url); } contributorPopoverSetup(); //Update document title //GA track page if(typeof(window.ga)!="undefined"){ ga('send','pageview'); } } }); } </script> <script type="text/javascript"> /* Guidelines Class */ $(document).ready(function(){ Guidelines_setup(); }); function Guidelines_setup(parent_obj){ if(typeof parent_obj == "undefined"){ parent_obj = ""; } $(parent_obj+" .inline-guidelines.inline-highlight").tooltip({ template: '<div class="tooltip tooltip-guidelines" role="tooltip"><div class="tooltip-arrow"></div><div class="tooltip-inner"></div></div>', html: true }); } </script> <script type="text/javascript"> /* Question Bank Class */ $("document").ready(function(){ if($(".fieldset.unanswered").length){ $(".provide-feedback").slideUp(0); } }); </script> </body> </html>