Step II Cirrhosis

[Babycatcher2B]

Okay, so while reading for my last clerkship of third year, family medicine; I read in Blueprints Clinical Cases (copyright 2007) that "Hepatitis C has surpassed alcoholic liver disease as the most common cause of cirrhosis in the US (26%). Alcoholic (21%). However, while studying for step 2 CK, I've read in Secrets that Alcohol is the #1 cause, I've read in Step Up to Medicine that is alcohol, and also I've gotten the question wrong on USMLE World, stating that it is alcoholic liver disease. Thinking that Secrets, Step Up to Medicine, and the questions on USMLE World may be older editions and not up to date, I tried to search the internet, but I couldn't find a source that states that one is more common than the other (always stating that both are the most common). Anybody read anywhere that Hepatitis C is number 1, and if so where. I'd hate to get this question wrong on step 2 ck (if it will even show up).

 

[AlternateSome1]

Check for the Appendix of Evidence Based Resources in the back of the book. Some of the Blueprints books have a listing of 4+ resources split up by chapter.

 

[Babycatcher2B]

According to this aricle update in 2007. Hep C is #1 in US. Don't be fooled by popular older study sources:

"Alcoholic liver disease once was considered to be the predominant cause of cirrhosis in the United States. Hepatitis C has emerged as the nation's leading cause of both chronic hepatitis and cirrhosis."


http://www.emedicine.com/MED/topic3183.htm