LIVER TBL Flashcards
A patient with gallbladder stones had this organ removed. The intervention is carried out by an inexperienced surgeon: During the procedure, he inadvertently damages the proper hepatic artery. As a consequence of this: Which of the following alterations will be more important in this patient?
Bile duct damage
A patient with a severe impairment of liver function may present…
High ammonia levels in blood
Patients with severe liver failure tend to have coagulation problems. What will be the effect of giving vitamin K to these patients?
Independent of the administration route it will not improve coagulation
If there is resistance to intrahepatic flow from the portal vein branches, in order to decrease such resistance, it may be necessary to create a “bridge” between portal vein branches and hepatic vein branches (this bridge is called TIPS). When do you think that this treatment will lead to more complications, so it may be contraindicated?
When there is very severe liver failure (the liver practically does not work)
Which substances related to bruises are synthesized in the liver?
Coagulation factors
A patient with chronic liver failure who is waiting for a liver transplant presents in the emergency room with symptoms of disorientation and emotion. Which measure do you think might be useful?
Provide him with cleansing enemas
Metabolism of intestinal bacteria as well as nitrogenous products from amino acids contained in the food or from their catabolism in the tissues, produce ammonia, which is a toxic substance. What is the main organ that modifies the composition of these products to facilitate its excretion?
Liver, through urea cycle
Where do nutrients that are taken up by the hepatocytes come from?
Mainly through the portal vein
Acholia refers to pale or clay-colored stools due to lack of bile pigments. In which circumstances do you think acholia will appear most frequently?
A disease that occurs with a mass or tumor in the head of the pancreas
