GI - PowerPoint/4 Flashcards

1
Q

metabolic cirrhosis is usually caused by

A

genetic metabolic storage disorders

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2
Q

variable color feces is to which jaundice

A

intrahep

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3
Q

ascites

A

accumulation of fluid in the peritoneal cavity

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4
Q

cirrhosis - alcoholic liver disease: enlargement of the liver is to

A

initial stage - fatty liver

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5
Q

advanced cirrhosis manifestations

5

A
  1. ascites
  2. peripheral edema
  3. esophageal varices
  4. jaundice
  5. encephalopathy
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6
Q

irreversible inflammatory, fibrotic liver disease

A

cirrhosis

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7
Q

excessive hemolysis of RBC leads to increased what in blood

A

unconjugated bilirubin that the liver cannot process

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8
Q

renal sodium and water retention can cause (liver)

A

ascites

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9
Q

cirrhosis caused by biliary cirrhosis is associated with

A

immune disorders

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10
Q

cirrhosis can be caused by

4

A
  1. alcoholic liver disease
  2. biliary cirrhosis
  3. postnecrotic cirrhosis
  4. metabolic issues
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11
Q

causes abdominal distention

A

ascites

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12
Q

cirrhosis - alcoholic liver disease: inflammation, cell necrosis, and fibrous tissue formation

A

2nd - alcoholic hepatitis

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13
Q

posthep or obstructive jaundice buildup in blood

A

increased conjugated bilirubin because obstruction blow flow to intestine and causes backup to liver and blood

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14
Q

light colored stools

A

jaundice

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15
Q

dark urine

A

jaundice

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16
Q

jaundice is characterized by

3

A
  1. dark urine
  2. yellow discoloration of sclera and skin
  3. light colored stools
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17
Q

cirrhosis tx

7

A
  1. avoid alcohol
  2. supportive/symptomatic tx
  3. dietary
  4. balance electrolytes
  5. paracentesis
  6. antibiotics
  7. liver transplant
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18
Q

cirrhosis linked with chronic hepatitis

A

postnecrotic cirrhosis

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19
Q

cirrhosis - alcoholic liver disease: third stage, end stage

2

A
  1. fibrotic tissue replaces normal tissue

2. little normal function remains

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20
Q

ascites causes what three things

A
  1. abdominal distention
  2. increased abdominal girth
  3. weight gain
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21
Q

cirrhosis

A

irreversible inflammatory, fibrotic liver disease

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22
Q

accumulation of fluid in the peritoneal cavity

A

ascites

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23
Q

increased conjugated bilirubin in blood

A

posthep or obstructive

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24
Q

caused by hyperbilirubinemia

A

jaundice/icterus

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25
Q

ascites mortality rate

A

25% in 1 year if associated with cirrhosis

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26
Q

cirrhosis - alcoholic liver disease: initial stage of fatty liver sx and outcome

A

asymptomatic and reversible with reduced alcohol intake

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27
Q

alcoholic hepatitis is which stage of alcoholic liver disease cirrhosis

A

2nd

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28
Q

cirrhosis - alcoholic liver disease stages

3

A
  1. initial - fatty liver
  2. second - alcoholic hepatitis
  3. third - end stage cirrhosis
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29
Q

normal to dark feces is which jaundice

A

pre and hemolytic

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30
Q

gall stones cause which jaundice

2

A

posthep or obstructive

31
Q

cirrhosis - what becomes obstructed and cause portal HTN

A

biliary channels

32
Q

ascites development is associated with

4

A
  1. portal HTN
  2. decreased synthesis of albumin by the liver
  3. splanchnic vasodilation
  4. renal sodium and water retention
33
Q

causes increased abdominal girth

A

ascites

34
Q

2 types of jaundice

A
  1. obstructive

2. hemolytic

35
Q

increased unconjugated bilirubin in blood because hepatocellular damage prevents conjugation and excretion

A

intrahep jaundice

36
Q

cirrhosis initial manifestations are often what

2

A
  1. mild

2. vague

37
Q

splanchnic vasodilation can cause

A

ascites

38
Q

cirrhosis initial manifestations include

4

A
  1. fatigue
  2. anorexia
  3. weight loss
  4. anemia
  5. diarrhea
39
Q

dull aching pain may be present in upper right abdominal quadrant

A

initial manifestations of cirrhosis

40
Q

hemolytic jaundice is what type

A

prehepatic jaundice

41
Q

intraheptic jaundice disease

A

hepatitis

42
Q

jaundice is caused by

A

hyperbilirubinemia

43
Q

cirrhosis - alcoholic liver disease initial stage, fatty liver:
what does the liver look like

A

enlargement of the liver

44
Q

jaundice aka

A

icterus

45
Q

bilary channels become obstructed and cause portal HTN

A

cirrhosis

46
Q

cirrhosis initial manifestations - dull aching pain may be present in

A

upper right abdominal quadrant

47
Q

cirrhosis biliary channels

A

become obstructed and cause portal HTN

48
Q

postnecrotic cirrhosis is linked with

2

A
  1. chronic hepatitis

2. long term exposure to toxic materials

49
Q

icterus aka

A

jaundice

50
Q

increased unconjugated and conjugated bilirubin in blood

A

intrahep

51
Q

cirrhosis - alcoholic liver disease: second stage, alcoholic hepatitis
3

A
  1. inflammation
  2. cell necrosis
  3. fibrous tissue formation (irreversible)
52
Q

obstructive jaundice types

2

A
  1. extrahepatic

2. intrahepatic

53
Q

alcoholic liver disease can cause

A

cirrhosis

54
Q

intrahepatic jaundice cause

A

increased unconjugated bilirubin in blood because hepatocellular damage prevents conjugation and excretion

55
Q

cirrhosis esophageal varices may rupture, leading to

2

A
  1. hemorrhage

2. circulatory shock

56
Q

light color feces is to which jaundice

A

posthep or obstructive

57
Q

fatty liver is which stage of alcoholic liver disease

A

initial

58
Q

cirrhosis link to long term exposure to toxic materials

A

postnecrotic cirrhosis

59
Q

most common cause of ascites is what

A

cirrhosis

60
Q

excessive hemolysis of RBCs

A

hemolytic jaundice

61
Q

cirrhosis severity and rate of progression depend on

A

the cause

62
Q

ascites - ____ disorder

A

liver

63
Q

increased unconjugated bilirubin in blood

A

prehap or hemolytic jaundice

64
Q

prehepatic or hemolytic jaundice e.g.

A

hemolytic anemia

65
Q

ascites txd

A

paracentesis

66
Q

decreased synthesis of albumin by the liver can cause

A

ascites

67
Q

liver portal HTN can cause

A

ascites

68
Q

cirrhosis - alcoholic liver disease: asymptomatic and reversible with reduced alcohol intake

A

initial stage - fatty liver

69
Q

yellow sclera and skin

A

jaundice

70
Q

posthepatic or obstructive jaundice disease

A

gallstones

71
Q

hepatitis is what type of jaundice

A

intrahepatic jaundice

72
Q

hemolytic jaundice

A

excessive hemolysis of RBCs

73
Q

cirrhosis associated with immune disorders

A

biliary cirrhosis