Flashcard 1
what does ARLD stand for
alcohol related liver disease
hepatic encephalopathy
brain function impaired by presence of toxic substances absorbed from the colon, which would normally have been removed or detoxified by the liver
CRP
marker of inflammation/ infectious states and in presence of tissue damage/ necrosis
what are ALT and AST
enzymes involved in transamination of amino acids
describe segmentation contractions timings
start when food enters the stomach. highest during meal times
liver disease (general) investigations
- USS
- LFTs
- U+Es
- ALT/AST ratio
- CT/MRI
- biopsy
- endoscopy?
symptoms:
- fever
- N+V
- jaundice
- malaise
- fatigue
- abdo pain
- pale stool, dark urine
viral hepatitis
symptoms primary sclerosing cholangitis
- epigastric abdo pain
- jaundice
- itchy
- tired
- fever
cholangiocarcinoma
cancer of bile duct
what could pain in R upper quadrant and right should indicate
secondary liver cancer
describe the pain associated with acute cholangitis
starts epigastric -> sharp RUQ -> scapula radiation
management acute and chronic cholecytitis
- cholecystectomy
- IV fluids
- fast
- analgesia
- ABs
signs and symptoms:
- painful obstructive jaundice
- pale stools
- dark urine
- itching
- steatorrhoea
choledocholithiasis
charcots triad
- jaundice
- abdo pain
- fever
symptoms:
- N+V
- pyrexia
- hypovolaemic shock
- severe epigastric/ umbilical quadrant pain
- hypocalcaemia
- hyperglycaemia
- tachycardic
- pleural + oscitic effusions
- jaundice
acute pancreatitis
