ABP Transplant Hepatology case studies
ABP Transplant Hepatology · Put your knowledge to work in context.
Transplant Hepatology is a subspecialty certificate offered by the American Board of Pediatrics in collaboration with the American Board of Internal Medicine, intended for pediatricians who already hold certification in pediatric gastroenterology and now devote their practice to pediatric liver disease and liver transplantation. Eligibility is narrow by design: candidates must be currently certified in pediatric gastroenterology, and keeping the transplant hepatology certificate requires Maintenance of Certification in pediatric gastroenterology. The ABP Transplant Hepatology case studies are 5 cases and about 3,827 words.
1Pale Stools at Seven Weeks: Cholangiogram Now or a HIDA Scan Later
A 7-week-old girl, born at 36 weeks, is referred for jaundice that has persisted since week 2. She is exclusively breastfed and gaining about 15 g/day.
782 words, about 4 min2Hematemesis in a Child With a Failed Kasai: Resuscitation, Endoscopy, and the Waitlist
A 6-year-old boy with biliary atresia treated with Kasai portoenterostomy at 48 days presents to a community emergency department with a 30-minute episode of hematemesis (about 250 mL of bright red blood) followed by melena. He is pale and lethargic.
766 words, about 4 min3Indeterminate Acute Liver Failure in a 4-Year-Old: Transfer, Workup, and Whether to List Tonight
A previously healthy 4-year-old girl is admitted with 3 days of vomiting, lethargy, and jaundice. She received acetaminophen at a total dose of 45 mg/kg over 24 hours two days ago, and her acetaminophen level is below the limit of detection.
762 words, about 4 min4OTC Deficiency With a Low PELD Score: Exception Points and a Heterozygous Mother as Donor
A 2-year-old boy with ornithine transcarbamylase deficiency has had three hyperammonemic crises in 6 months, the highest ammonia 380 µmol/L; each required ICU admission and one required hemodialysis. Between episodes he takes sodium phenylbutyrate and citrulline and follows a 1.2 g/kg/day protein-restricted diet.
761 words, about 4 min5New Ductopenia and Donor-Specific Antibodies Five Years After Living-Donor Transplant
A 12-year-old girl who received a living-donor left lateral segment graft for biliary atresia at age 3 presents with 4 weeks of fatigue and pruritus. She admits to missing tacrolimus doses a few times a month during a school sports season.
756 words, about 4 min