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Flashcards in Alcoholic hepatitis and more Deck (24):
1

What is alcoholic liver disease

a term that encompasses the liver's develop after overconsumption of alcohol

2

What are the types of alcoholic liver diseases

Hepatocellular steatosis or fatty liver
Alcoholic hepatits
Liver Cirrhosis

3

What is hepatocellular steatosis

it is an accumulation of fatty acid in the liver cells. lips droplet that accumulate in the liver cells. it is reversible

4

What is alcoholic hepatitis

inflammation of hepatocytes through alcohol.. it leads to the hepatocytes swelling and necrosis. it is characterized by Mallory Pink bodies in the hepatocytes

5

What is Liver cirrhosis

it is a late stage of serious liver (Hepatocellular carcinoma) disease marked by inflammation, fibrosis. it appears as enlarged, pale, yellow

6

What are the characteristics of a fatty liver

Painful
hepatomegaly
no fever
no neutrophilic leukocytes

7

What are the characteristics of alcoholic hepatitis

painful
fever
hepatomegaly
neutrophilic leukocyte
ascites
GI bleeding ( varices )
AST> ALT
Increased GGT and ALP
Increased conjugated and PT

8

What is NAFLD

The prescience of hepatic steatosis or Fatty liver in the absence of alcohol consumptions.

9

What causes NAFLD

Metabolic syndrome and DM
and 2 of the following:
Blood Pressure
Dyslipidemia
Central obesity
microalbuminuria

10

What is acute liver failure

the rapid development of hepatocellular dysfunction specifically coagulopathy and mental status changes in the patient w/o liver disease

11

What are the compilation of acute liver disease

Jaundice
scleral icterus
hepatic encephalopathy
Asterixis
coagulopathy
portal hypertension
heptaorenal syndrome

12

What is chronic liver failure and cirrhosis

conditions in which the liver does not function properly due to the long term damage that usually takes months or years.

13

What are the common causes of chronic liver failure

Chronic hepatitis B and C
Alcoholic
NAFLD

other causes:
Hemochromatosis
Wilson disease
Alpha-1 antitrypsin def
primary biliary cirrhosis

14

What are the manifestations of chronic liver disease

Jaundice
Pruritis
Increased Estrogen
Palmar erythema
Spider anigomas
hypogonadism
Gynecomastia
Xantheslesma
Portal hypertension

15

What are the drugs that cause gynecomastia

Some Drugs Create Awesome Knockers

Spironolactone
Digitalis
Cimetidine
Alcohol
Ketoconazole

16

What is the blood supply

Portal vein, Hepatic Vein

17

What are complications with portal hypertension

Esophageal varices
splenomegaly
melena
Ascites, Hemorrhages, Caput Medusa

18

What is ascites

it is excess fluid accumulation in the peritoneal cavity

19

What are the physical exam of ascites

bulging flanks
shifting dullness fluid wave test

20

What is the SAAG score

Serum albumin to Ascites albumin
> 1.1g = cirrhosis, portal HTN

21

What is the treatment of ascites

paracentesis

22

What are the complications to ascites

Spontaneous Bacterial Peritonitis
Bacterial Infection in peritoneum
Patient w/ worsening
ascites w/ fever, chills, abdominal pain

23

What is the diagnostic criteria of ascites

absolute neutrophil count > 250 cells

24

What is the MCC of ascites

E.Coli