12. Approach to the patient with liver disease Flashcards
1
Q
Bilirubin is usually between ___ before you can see jaundice
A
5-6
2
Q
What is the best test for how well a liver is working?
A
INR
3
Q
What are the only things that give levels of aminotransferases over 500?
A
Hep A and B AI hepatitis Meds Ischemia Stone passage
4
Q
How can you tell the difference between NAFL and NASH?
A
Biopsy to look for inflammation and fibrosis
5
Q
People with non-NASH NALF more often die of
A
Heart problems
6
Q
What should you do if the discriminant function in a patient with alocholic liver disease is over 32?
A
Treat with
- prednisone
- pentoxifylline
- *along with nutritional support
7
Q
What do you treat a patient with AIH with?
A
Prednisone
Azothioprine
8
Q
What antibodies might be found in AIH?
A
Type I: ANA, ASMA
Type 2: ALKM
