jaundice symposium Flashcards
1
Q
what are the 3 categories of jaundice?
A
1) pre-hepatic
2) hepatic
3) post-hepatic
2
Q
what other symptoms do you look for in someone with jaundice?
A
- pruritus
- weight/appetite loss
- pain
- fevers
- lethargy
3
Q
what are risk factors for jaundice?
A
- other illnesses
- alcohol
- viral hepatitis risk: IVDU, travel, blood transfusions, tattoos, sexual history
- drug history
- family history
4
Q
what are some signs of chronic liver disease?
A
- jaundice
- spider nevi
- palmar erythema
- leuconychia
- dupytren’s contracture
- ascites
- gynaecomastia
- splenomegaly
5
Q
what are the routine liver tests?
A
- bilirubin
- alanine aminotransferase (ALT)
- aspartate aminotransferase (AST)
- alkaline phosphatase (ALP)
- gamma glutamyltransferase (GGT)
- albumin
- international normalised raito (INR)
6
Q
what are come causes of abnormal liver function tests (LFTs)?
A
- non-alcoholic fatty liver
- alcohol
- drug induced
- viral hepatitis
- biliary disease
- autoimmune liver disease
- haemochromatosis
- Wilsons disease
7
Q
what does a fibroscan look for?
A
- transient elastography
- measure of liver stiffness
- correlates with fibrosis
8
Q
what does a liver biopsy look for?
A
- confirm/establish diagnosis
- staging
- assess treatment/disease progress
