liver biochemistry Flashcards

1
Q

when do aminotransferases leak into the blood

A

with liver cell damage

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2
Q

where is AST also present

A
  • heart
  • muscle
  • kidney
  • brain
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3
Q

what diseases is high AST seen

A
  • hepatic necrosis
  • MI
  • muscle injury
  • cardiac failure
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4
Q

what is ALT

A

cytosol enzyme

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5
Q

when is an ALT rise

A

only liver disease

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6
Q

what is the ALT:AST ratio in hepatitis

A

ALT > AST

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7
Q

what is the ALT:AST ratio in alcoholic liver disease

A

AST > ALT

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8
Q

what does AST:ALT ratio of more than 1 indicate in hepatitis

A

cirrhosis

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9
Q

when is ALP raised

A

in intrahepatic and extrahepatic disease

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10
Q

what is gamma-GT useful for

A

guide of alcohol intake if ALP if normal

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11
Q

when is globulin fraction often raised

A

in autoimmune hepatitis

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12
Q

what are viruses a major cause of

A

liver disease

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13
Q

when is thrombocytopenia common

A

in cirrhosis

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14
Q

what can alpha1-antitrypsin deficiency produce

A

cirrhosis

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15
Q

what is alpha-fetoprotein produced by

A

fetal liver

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16
Q

when is urinary copper raised

A

in Wilson’s disease