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Hepatology Clinic

Level 3 - Ambulatory Care Centre (Check in B)

Acute Services Building

Royal North Shore

Reserve Rd

St Leonards

2065

Map view

Hepatology Clinic

Contact us

Phone: 02 9463 2463

Fax: 02 9463 2041

eMail: NSLHD-RNS-HepatologyService@health.nsw.gov.au

Opening hours

  • Monday: 13:30 - 15:30
  • Wednesday: 8:30 - 11:30
  • Thursday: 9:00 - 11:00

 What we do

The Hepatology Service and its Liver Clinic at Royal North Shore Hospital provides specialist Hepatology consultations and multi-disciplinary care for patients within the Northern Sydney Local Health District. We manage patients with liver disease arising from hepatitis B, hepatitis C, non-alcoholic fatty liver disease, alcohol-induced and drug-induced liver injury, autoimmune and metabolic disorders.

 

The Hepatology Service provides comprehensive assessment and management of patients with primary liver cancers (hepatocellular cancer) and associated liver disease in the context of a multi-disciplinary framework with other medical specialties.

 

We provide treatment for:

  • Hepatitis B
  • Hepatitis C
  • Liver Disease
  • Liver Cancer

 

We care for and treat people with:

  • Cirrhosis
  • Chronic Hepatitis B and C
  • Non-alcoholic fatty Liver Disease
  • Alcoholic Liver Disease
  • New Liver Lesions

 What to bring

  • Images / Scans
  • Blood Results
  • List of current medications
  • Referral
  • Medicare card

 When to visit us

Basic investigations required for Liver Clinic Consultation:

  • LFTs, EUC, FBC, coagulation
  • HBV serology: HBsAg, anti-HBc, anti-HBs; if HBsAg positive, test HBeAg, anti-HBe and HBV DNA
  • Anti-HCV Ab; if positive, test HCV RNA(quatitative), HCV genotype
  • Liver ultrasound

 

Referrals with insufficient information will be returned to the GP until further information is provided to the clinic.
 

 

 How to visit us

Exit off Pacific Highway and the M1 will take you to the hospital on Reserve Road in St Leonards

Bus Route 114 stops directly at the hospital.

The hospital is close to St Leonards train station

The hospital is a 5 minute walk from St Leonards Station

Street and multi storey car parking are available on the Royal North Shore hospital campus. Fees apply, so please check signage. Concession parking rates are available for patients and carers. Click here for more details.

The Neurosurgery and Interventional Neuroradiology Clinic is Check in B.

When you enter the hospital, walk past the yellow lifts. The Ambulatory Care Centre will be on your right hand side between the orange and green lifts.

Check in B is located on the right, past the enquiries desk.

 

 Referral information

For referrer use only and is not intended for patients to self-diagnose. Any patients who feel they may require a referral must be assessed and referred by their GP if appropriate.


If you are a GP or Specialist wishing to make a referral, please use the below contacts.

Urgent referrals: Contact the RNSH Switchboard (99267111) and ask to page the on-call gastroenterology registrar.
Routine referrals: Send referral letter via email to NSLHD-RNS-HepatologyService@health.nsw.gov.au or fax to (02) 9463 2041

Mandatory Referral Information: Please address referrals to a consultant being referred to in RNSH outpatients. If unsure, please refer to Dr. Cameron Gofton. All referrals must include a brief summary of the patients' condition, reason for referral, relevant medical history and medications. Any relevant pathology and other relevant test results should be included. Please advise if language translation services are required.

 

When to Refer:
Hepatology

  • Cirrhosis (any cause)
  • Chronic Hepatitis B
  • HBeAg positive patients with ALT > 19 units/L (females) and > 30 units/L (males) AND HBV DNA >20 000 IU/mL
  • HBeAg negative patients with serum ALT > 19 units/L (females) and > 30 units/L (males) elevated for 3 - 6 months AND HBV DNA >2000 units/mL
  • Chronic Hepatitis C
  • Anti-HCV Ab positive AND HCV RNA positive
  • Non-alcoholic fatty liver disease with elevated ALT
  • Alcoholic Liver Disease
  • New liver lesion
  • Other: abnormal LFTs for evaluation (note mandatory referral info below)
  • Post-discharge patients


Urgent Referrals

  • Decompensated cirrhosis: jaundice, ascites
  • Liver cancer (hepatocellular cancer)
  • Patients with positive HBV serology (HBsAg or anti0HBc positive) who are planned for chemotherapy/immunosuppression
  • Pregnant women with abnormal LFTs or chronic hepatitis B (HBsAg positive)

 

Diagnostic Services
FibroScan - GP referral for firbroscan diagnostics are accepted for the following indicators:

  • Chronic Hepatitis C (pre-treatment)
  • Chronic Hepatitis B
  • HCV-HIV co-infection
  • Non-alcoholic fatty liver disease
  • Alcoholic liver disease
  • Primary Biliary Cholangitis
  • Liver stiffness un-interpretable
  • Acute hepatitis )ALT>10xULN)
  • Extrahepatic cholestasis
  • Right heart failure, hepatic congestion

 

Exclusion Criteria:

  • Pregnancy
  • Pacemaker, implantable defibrillator
  • Cirrhosis already diagnosed by clinical, biochemical, &/or radiological methods; ascites
  • Liver stiffness un-interpretable

 Other information

 

Can transport be organised for people to attend?

Patients should arrange for their own transport for their clinic appointments.

 

Is there a cost to patients to attend the clinic?

No. Clinic appointments are free of charge for eligible Medicare card holders.

Non - Medicare card holders may be charged for consultation fees and including other related medical expenses.

 Related links