ABIM Tx Hepatology case studies
ABIM Tx Hepatology · Put your knowledge to work in context.
The ABIM Transplant Hepatology Certification Examination is the subspecialty certifying examination for physicians who already hold ABIM certification in gastroenterology and who have completed accredited transplant hepatology fellowship training. The program is jointly developed by the American Board of Internal Medicine and the American Board of Pediatrics; the examination is administered to candidates from both boards at the same time in the same testing centers, with ABIM responsible for administration. This is an independent study resource and is not affiliated with ABIM or ABP. Eligibility follows a sequence: gastroenterology certification at the time of application, satisfactory completion of formal training, demonstrated clinical competence and procedural skills, a valid unrestricted and unchallenged license, and a passing examination score. The ABIM Tx Hepatology case studies are 5 cases and about 2,304 words.
1Portopulmonary Hypertension Before Liver Transplantation
A 60-year-old man with hepatitis C cirrhosis, cured with direct-acting antivirals, is evaluated for liver transplantation. He reports progressive dyspnea on exertion and has a loud pulmonic component of S2, 2+ leg edema, and JVP 12 cm.
513 words, about 3 min2Primary Nonfunction After DCD Liver Transplant
A 62-year-old woman with NASH cirrhosis and MELD-Na 30 undergoes deceased donor liver transplantation. The graft is from a donation after circulatory death donor, age 55, with 35 minutes of warm ischemia and 9 hours of cold ischemia.
451 words, about 2 min3Recurrent Autoimmune Hepatitis or Acute Cellular Rejection?
A 34-year-old woman underwent liver transplantation 8 months ago for autoimmune hepatitis-related cirrhosis. Maintenance immunosuppression is tacrolimus (trough 4.2 ng/mL) and mycophenolate mofetil 500 mg twice daily.
459 words, about 2 min4Late-Onset CMV After Interrupted Prophylaxis
A 50-year-old man underwent liver transplantation for primary sclerosing cholangitis 10 weeks ago. He is CMV-seronegative and received a liver from a CMV-seropositive donor.
440 words, about 2 min5Recurrent PSC With Active Colitis
A 42-year-old woman underwent liver transplantation 3 years ago for primary sclerosing cholangitis and has a history of ulcerative colitis. She now has pruritus, fatigue, and jaundice.
441 words, about 2 min