Phys Written Answers · gastrointestinal
Liver Transplantation — Written Clinical Reasoning
DCE-style written reasoning for Liver Transplantation.
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Target exams
FRACP DCEMRCP Part 2
Prompt
DCE-style written reasoning for Liver Transplantation.
SAQ 1 — Integrated plan (12 marks)
Prompt: Provide a prioritised problem list and management sequence for this presentation. [1] [2]
Model Answer
1. Frame and red flags (3 marks) [1]
State the working diagnosis/syndrome, acuity, and what would force emergency treatment now. [1] [2]
2. Discriminating assessment (3 marks) [2]
List the key history, examination and investigations that separate dangerous differentials from benign mimics. [1] [2]
3. Treatment sequence (4 marks) [1] [3]
Immediate stabilisation, disease-specific therapy, monitoring, and complications prevention. [1] [2] [3]
4. Follow-up and communication (2 marks) [2]
Disposition, safety-net advice, and who owns follow-up. [1] [2]
References6ShowHide
- [1]Kamath PS, Wiesner RH, Malinchoc M, et al. A model to predict survival in patients with end-stage liver disease Hepatology, 2001.PMID 11172350
- [2]Tapia-Villacis S, Prieto J, López M, Medina J Disseminated Phaeohyphomycosis Due to Alternaria alternata in a Liver Transplant Recipient: Successful Treatment With Isavuconazole, a Case Report and Literature Review Case Rep Transplant, 2026.PMID 42465679
- [3]Lee H, Jung KU, Luu M, Kosari K, et al. Perioperative mortality and survival after lymph node excision in hepatocellular carcinoma: a national cancer database propensity score-matched cohort study World J Surg Oncol, 2026.PMID 42464368
- [4]Morales Junior R, Telles JP, Chua NGS, Kunicki PK, et al. Mapping Therapeutic Drug Monitoring Research in Low- and Middle-Income Countries: A Scoping Review (2015-2024) Ther Drug Monit, 2026.PMID 42457203
- [5]You H, Maiwall R, Chen J, Ahn SH, et al. APASL clinical practice guidelines on the management of chronic hepatitis B infection: a 2026 update Hepatol Int, 2026.PMID 42365189
- [6]Perito ER, Chen JK, Danziger-Isakov LA, Desai MS, et al. AASLD AST NASPGHAN Practice Guideline on pediatric liver transplantation: Posttransplant management. Liver Transpl, 2026.PMID 42329162