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Hepatology</a> <span>›</span> <a href="/web/20130825045905/http://www.healio.com/hepatology/curbside-consultation"> Curbside Consultation</a> </p> <!-- /breadcrumbs --> <!-- content --> <div class="content"> <!-- filter --> <div id="filter"> <ul class="content-filter"> <li>Filter By:</li> <li> <select name="layout_0$phmaincontent_1$ddSelect" id="layout_0_phmaincontent_1_ddSelect"> <option selected="selected" value="{A7809879-C85D-4727-9DA2-50447284EEB4}">Liver</option> <option value="{09D8403A-73D2-4D82-8F3E-5412C7911F61}">Pancreas</option> </select> </li> </ul> </div> <br/> <h2 class="alt"> Liver</h2> <!-- content list --> <ul class="content-list alt"> <li><a href="/web/20130825045905/http://www.healio.com/gastroenterology/curbside-consultation/{A8B9EC89-2C79-4696-A702-84E9FAD15233}/What-Is-the-Likelihood-T"> What Is the Likelihood That My Patient With Chronic Hepatitis C Will Develop Cirrhosis, Hepatocellular Carcinoma, and/or Hepatic Decompensation?</a></li> <li class="author"> Seela Ramesh, MD </li> <li class="author"> Mitchell L. Shiffman, MD </li> </ul> <ul class="content-list alt"> <li><a href="/web/20130825045905/http://www.healio.com/gastroenterology/curbside-consultation/{B52D2824-38CF-40BB-8EB8-2720A05999C1}/Do-All-Patients-With-Chr"> Do All Patients With Chronic Hepatitis C Virus Require a Liver Biopsy?</a></li> <li class="author"> Ramesh Ashwath, MD </li> <li class="author"> Mitchell L. Shiffman, MD </li> </ul> <ul class="content-list alt"> <li><a href="/web/20130825045905/http://www.healio.com/gastroenterology/curbside-consultation/{270AB43F-6CF8-49FA-B4AA-19845AB93E9F}/Is-There-Anything-I-Can-"> Is There Anything I Can Do to Improve the Chance That an African American With Chronic Hepatitis C Will Respond to Peginterferon and Ribavirin? </a></li> <li class="author"> Mitchell L. 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Shiffman, MD </li> </ul> <ul class="content-list alt"> <li><a href="/web/20130825045905/http://www.healio.com/gastroenterology/curbside-consultation/{4CF7BEC8-26BA-46DC-9DCE-FE91D8477E73}/Is-There-a-Simple-Way-to"> Is There a Simple Way to Treat a Patient Who Is Coinfected With Hepatitis B Virus and HIV?</a></li> <li class="author"> Richard K. Sterling, MD, MSc, FACP, FACG </li> </ul> <ul class="content-list alt"> <li><a href="/web/20130825045905/http://www.healio.com/gastroenterology/curbside-consultation/{2EF286CB-EDFC-43D8-A894-4EC0801F024B}/What-Is-the-Best-Screeni"> What Is the Best Screening Test for Genetic Hemochromatosis?</a></li> <li class="author"> Peter Dienhart, MD </li> <li class="author"> Jayanta Choudhury, MD </li> <li class="author"> Anastasios A. 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Heuman, MD </li> <li class="author"> Adil Habib, MD </li> </ul> <ul class="content-list alt"> <li><a href="/web/20130825045905/http://www.healio.com/gastroenterology/curbside-consultation/{63F9CB7B-8747-4088-935B-32EC9E281F75}/I-Have-Been-Increasing-t"> I Have Been Increasing the Dose of Diuretics in My Patient With Ascites Over Several Weeks. He Still Has Ascites but Has Now Developed an Elevation in Serum Creatinine to 2.0 mg/dL. What Should I Do?</a></li> <li class="author"> Douglas M. Heuman, MD </li> <li class="author"> Adil Habib, MD </li> </ul> <ul class="content-list alt"> <li><a href="/web/20130825045905/http://www.healio.com/gastroenterology/curbside-consultation/{71EA9BC5-AAB6-40A0-9E63-5355FA2BA68C}/My-Patient-With-Hepatic-"> My Patient With Hepatic Encephalopathy Continues to Be Mildly Confused Despite Taking Lactulose Twice Daily and Having Multiple Episodes of Diarrhea Daily. Should I Increase the Dose Further?</a></li> <li class="author"> Douglas M. Heuman, MD </li> <li class="author"> Adil Habib, MD </li> </ul> <ul class="content-list alt"> <li><a href="/web/20130825045905/http://www.healio.com/gastroenterology/curbside-consultation/{CFC683BE-2A71-42F1-AD98-A1C45CE0FC8A}/I-Have-Been-Asked-to-See"> I Have Been Asked to See a Patient Who Had a Liver Transplant 5 Years Ago in Another State. He Has Not Been Seen by His Liver Transplant Center in 2 Years. His Serum Creatinine Is 2.5 mg/dl but His Liver Enzymes and Liver Function Tests are Normal. He Does Not Want to Go Back to His Transplant Center. What Should I Do?</a></li> <li class="author"> R. 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