TranslateLiver Fibrosis/Cirrhosis
Outpatients | Gastroenterology
This condition is treated in the Gastroenterology clinic.
Pre-referral work-up
History
- General referral information
- Family history of liver cancer or other liver disease/s
- Alcohol and medication history
Tests
Pathology:
LFT
FBC
U&E
INR
Alpha fetoprotein (AFP) (only where performed)
HBV serology
HCV serology
Iron studies
Imaging:
- Upper abdominal USS
Investigations:
Nil
Interim/GP management
To refer a patient with this condition, please see the Gastroenterology clinic page for the full referral process and templates.
For more information please see the HealthPathways Tasmania website.
Clinic appointments
? Red location flags are clinical indicators of possible serious underlying conditions requiring further medical intervention. They may or may not indicate an emergency.
Emergency
? Potentially life-threatening symptoms suggestive of
- Acute severe GI bleeding
- Acute liver failure
- Sepsis in a patient with cirrhosis
- Severe encephalopathy in a patient with liver disease
If you, or someone else, are experiencing a serious and life-threatening injury or illness call triple zero (000) immediately or go to the nearest Emergency Department.
Learn more about when to access emergency care and non-emergency care options if the injury or illness is not serious or life-threatening.
Urgent (Category 1)
Suspected or confirmed severe fibrosis or cirrhosis with concerning features:
- Evidence of liver decompensation
- Jaundice
- Ascites
- Encephalopathy
We will endeavour to see these patients within four weeks
Urgent referrals should be accompanied by a phone call to the clinic and the relevant doctor for urgent assessment, or patient should be directed immediately to the Emergency Department.
Semi-urgent (Category 2)
Suspected fibrosis or cirrhosis without concerning features (as above).
Availability
North
Launceston General Hospital
Level 3 - Specialist Clinics
Phone: 1300 977 694
Fax: 03 6777 5227
North West
All North West referrals are managed via Mersey Community Hospital
Phone: 03 6478 5222
Fax: 03 6441 5942
South
Wellington Clinics (Level 10)
Phone: 03 6166 0000
Fax: 03 6234 3982
