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Extra hepatic Biliary Amnesia Questionnaire Australian Pediatric Surveillance Unit Pediatrician: 1. Dr Code 2. Report Code / Name: PATIENT DATA: 3. Surname (first two letters only) 4. First name (first
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How to fill out extrahepatic biliary atresia questionnaire

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The first step in filling out the extrahepatic biliary atresia questionnaire is to gather all the necessary information. This may include your medical history, laboratory test results, and any other relevant documents related to your condition.
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Once you have gathered all the required information, carefully read through the questionnaire. Make sure you understand each question before attempting to answer. If you have any doubts or concerns, you can consult with your healthcare provider for clarification.
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Start filling out the questionnaire by providing accurate and honest answers to each question. Take your time to ensure that your responses are as detailed and comprehensive as possible. If a question does not apply to your situation, you can leave it blank or indicate "N/A" (not applicable).
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When answering the questionnaire, it is important to be specific and provide relevant details. This will help healthcare professionals better assess your condition and provide appropriate treatment recommendations. Avoid making assumptions or guessing answers if you are unsure.
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Double-check your answers before submitting the completed questionnaire. Ensure that all the required questions have been answered and that your responses are accurate. If you have any concerns or changes after submitting, you can always inform your healthcare provider.

Who needs the extrahepatic biliary atresia questionnaire?

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The extrahepatic biliary atresia questionnaire is typically needed by individuals who have been diagnosed or are suspected to have extrahepatic biliary atresia. This questionnaire assists healthcare professionals in gathering important information about the patient's medical history, symptoms, and other relevant details.
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It may also be required for parents or caregivers of infants or children with extrahepatic biliary atresia. By completing the questionnaire, these individuals can provide valuable information about the child's condition, medical history, and any observed symptoms.
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Additionally, healthcare professionals involved in the care and management of extrahepatic biliary atresia patients may also utilize the questionnaire. This allows them to assess the patient's progress, evaluate treatment effectiveness, and make informed decisions regarding the management of the condition.
Overall, the extrahepatic biliary atresia questionnaire serves as a valuable tool in understanding the patient's condition, facilitating accurate diagnosis, and providing appropriate treatment recommendations.

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The extrahepatic biliary atresia questionnaire refers to a survey or set of questions designed to assess various aspects related to the condition of extrahepatic biliary atresia. This questionnaire may cover topics such as symptoms experienced by the patients, the severity of the disease, medical and surgical history, family history, and quality of life. It aims to gather detailed information that can help in diagnosing, treating, and managing the condition effectively.
The extrahepatic biliary atresia questionnaire is typically filled out by medical professionals or researchers studying patients with this condition. It is not typically a requirement for individuals or patients to fill out this questionnaire themselves.
The purpose of the extrahepatic biliary atresia questionnaire is to collect information from patients or their caregivers in order to aid in the diagnosis, management, and research related to extrahepatic biliary atresia (EHBA). EHBA is a rare condition in infants where the bile ducts outside the liver are blocked or absent, leading to bile flow problems and possible liver damage. The questionnaire helps in obtaining details about the patient's medical history, symptoms, physical examinations, and any previous interventions or surgeries. This information is crucial for healthcare professionals to better understand the condition, provide appropriate treatment, and contribute to ongoing research efforts to improve the understanding and management of EHBA.
To fill out an extrahepatic biliary atresia questionnaire, you can follow these steps: 1. Read the questionnaire carefully: Start by reading the questionnaire thoroughly to understand the information being asked and the format in which you need to provide the answers. 2. Gather necessary information: Collect all the relevant information about the individual with extrahepatic biliary atresia. This may include their medical history, current symptoms, medications, and any past or present treatments or surgeries. 3. Begin with personal details: Start by providing the personal details of the individual with biliary atresia, such as their name, date of birth, contact information, and address. 4. Answer specific medical questions: The questionnaire may have a series of questions related to the individual's symptoms, medical history, and treatment. Answer each question accurately and honestly. If you are unsure about any specific details, it's advisable to consult the healthcare provider or medical records for accurate information. 5. Use additional space if needed: Some questionnaires may have limited space to answer each question. If you need more space to elaborate or provide additional information, use the separate space provided or attach additional sheets if necessary. 6. Review and double-check: Before submitting the filled questionnaire, go through each question and your answers again to ensure accuracy and completeness. Make any necessary edits or corrections if needed. 7. Submit the questionnaire: Submit the filled questionnaire through the designated method provided by the healthcare provider or research institution. It could be a physical submission, online form, or sending via email. Remember, the questionnaire may vary depending on its purpose and the organization conducting the research or providing the medical care. Follow any specific instructions provided and seek assistance if you have any difficulties.
The following information must be reported on an extrahepatic biliary atresia questionnaire: 1. Patient demographics: This includes the patient's name, age, gender, and contact information. 2. Medical history: Information about any pre-existing medical conditions, previous surgeries, or relevant family medical history. 3. Symptoms: Details about the symptoms the patient is experiencing, such as jaundice (yellowing of the skin and eyes), dark urine, pale stools, abdominal pain, or failure to thrive (poor growth and weight gain). 4. Physical examination findings: Findings from a physical examination, including any signs of jaundice, enlarged liver or spleen, or any other notable abnormalities. 5. Laboratory tests: Results from blood tests, including liver function tests (such as bilirubin levels), complete blood count (CBC), and viral hepatitis screening. 6. Imaging studies: Reports from imaging studies, such as ultrasound, magnetic resonance cholangiopancreatography (MRCP), or hepatobiliary scintigraphy, which can help diagnose and assess the severity of biliary atresia. 7. Liver biopsy: If a liver biopsy has been performed, the results should be included, as it is often necessary to confirm the diagnosis of biliary atresia. 8. Surgical procedures: Details about any surgical procedures that have been performed, such as the Kasai procedure (a surgical intervention to restore bile flow) or liver transplantation. 9. Post-surgical outcome: Information about the patient's response to treatment, such as improvement in liver function, resolution of symptoms, or complications after surgery. 10. Follow-up: Any follow-up plans or recommendations for further monitoring and care should be included. It is essential to note that specific questionnaires may vary depending on the institution or research project collecting the data. Therefore, it is recommended to consult the specific questionnaire provided by the relevant authority or investigator.
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