Cirrhosis

Question 1

Zone 1

Answer 1

Viral hep toxins attack

Question 2

Zone 2

Answer 2

Yellow fever

Question 3

Zone 3

Answer 3

Least oxygenated. Hypoxia congestion. Alcoholic liver dx rifampicin para attack

Question 4

Ito cells space of disse

Answer 4

Vit a store
Bridging fibrosis collage 1 and 3
Amyloid deposits

Question 5

Nutmeg liver

Answer 5

In CHF
Centrilobular congestion
Periportal sparing

Question 6

Features of cirrhosis coz of inc estrogen

Answer 6

Spider angioma palmar erythema
Testicular atrophy
Gynaecomastia

Question 7

Fts of cirrhosis

Answer 7

Jaundice
Purpura petechiae
Gastric varices
Hemorrhiodes
Caput medusa
Ascites
Spontaneous bact peritonitis
Hepatic encephalopathy due to high levels of ammonia

Question 8

Specific ft of cirrhosis

Answer 8

Asterexis

Question 9

Syndromes with cirrhosis

Answer 9

Hepatorenal
Hepatopulmonary

Question 10

Hepatorenal sx

Answer 10

Pre renal failure
AKI
FeNa <1%
No shock

Question 11

Hepatopulm sx

Answer 11

Orthodeoxia
Platypnea

Question 12

Doc for hepatorenal sx

Answer 12

Terlipressin

Question 13

Doc for hepatopul sx

Answer 13

Terlipressin and albumin

Question 14

Earliest symp of hep encephalopathy

Answer 14

Altered sleep wake cycle

Question 15

Hep ence specific sign

Answer 15

Asterexis

Question 16

Hep enc eeg

Answer 16

Triphasic

Question 17

Hep enc staging

Answer 17

West haven

Question 18

Hep enc mx

Answer 18

Rifaximin lactulose