4 Learning Objectives – Student’s Version

Time

Learning Objective

Response

0:00 mins

Welcome and formation of students into groups. Facilitator should assign students into groups and ask students to share the responses that were gathered individually and discuss the case discussion question.

• Explain the epidemiology of alcoholic liver disease in the United States.

• List the risk factors for developing alcoholic liver disease.

• Describe how alcohol is normally metabolized by the liver.

Discuss with your group:

How did ethanol use lead to hepatitis in this patient?

0:20 mins

Facilitator: Facilitate a debrief of the responses to the learning objectives and case discussion question with the entire class for 10 minutes.

• Describe how the liver participates in blood clotting.

• Describe normal Starling pressures and changes that result in peripheral edema and ascites in a patient with alcoholic liver disease.

• List the normal progression of alcoholic liver disease.

0:50 mins

Facilitate a debrief of the responses to the learning objectives and case discussion question with the entire class for 10 minutes.

0:60 mins

At 60 minutes: BREAK for 10 minutes

1:10 mins

Facilitator should assign students into groups and ask students to share the responses that were gathered individually and discuss the case discussion question.

• List the signs and symptoms of alcoholic liver disease.

Discuss with your group:

What causes this patient’s peculiar breath (fetor hepaticus)?

• Contrast liver function laboratory results from a patient with alcoholic liver disease to normal lab findings and to patients with other forms of liver disease.

Discuss with your group:

Why is bilirubin elevated in this case?

• Determine the correct evaluation and testing to make a diagnosis for the patient in this case.

1:30 mins

Facilitate a debrief of the responses to the learning objectives and case discussion question with the entire class for 10 minutes.

• Determine differential diagnoses for the patient in this case.

• 
  Develop a management scheme for the patient.

Discuss with your group:

What interventions have been proven effective to address alcoholism?

What social support is currently available in our community?

• Describe when patients need a liver biopsy.

1:50 mins

Facilitate a debrief of the responses to the learning objectives and case discussion question with the entire class for 10 minutes.

• Describe when patients need a liver biopsy.

1:50 mins

Facilitate a debrief of the responses to the learning objectives and case discussion question with the entire class for 10 minutes.