GI - 5 Liver Disease pt 3 Flashcards Preview

GI > GI - 5 Liver Disease pt 3 > Flashcards

Flashcards in GI - 5 Liver Disease pt 3 Deck (22)
1

Ppl with a chronic liver disease like Hep C – will be vaccinated for Hep _ and _.

Hep A and B

2

2 preventions for Hep B, and who gets them:

1. HBIG: Protective or attenuate severity of illness if given in large doses within 7 days if exposure and followed by vaccine
2. Vaccinate: Dialysis workers and patients, transfusion patients, spouses and newborns of HBsAg + patients, IVDU, health care workers
NOW: Universal vaccination of infants and children
Post immunization titers checked, lasts 15yrs

3

You get liver disease and decompensate quickly

Acute Hepatic Failure

4

most common cause of Acute hepatic failure

Acetaminophen toxicity - suicide attempts or unintentional overdoses

5

the answer to a viral question I don’t know, or a pediatric question is going to be:

Parvovirus B 19

6

How has the # of cases of Viral Hepatitis changed over the years?

Declined from 70% to 12% because of Hep B vaccine

7

What is chronic Hepatitis?

Chronic necrosis and inflammation of the liver for more than 6 months duration
Abnormal LFTs
Histologic findings

8

Impaired copper metabolism is known as __ disease

Wilson's disease

9

What's Wilson's disease?

impaired copper metabolism

10

What causes liver disease, emphysema in lungs

Alpha 1 antitrypsin disease

11

If someone has chronic Hep B check for Hep _.

Hep E

12

What is a lab feature of Chronic HBV?

ALT > AST

13

What's the med for Chronic HBV? What's wrong with it though?

Interferon. Not well tolerated, can lead to depression.

14

inflammation of liver due to fat deposition in the liver

Steatohepatitis

15

3 clinical findings of chronic HCV?

Fatigue is the most common symptom
Jaundice is rare
Similar to chronic Hep B (hbv)

16

2 treatments for chronic hbv

Peg INF (interferon) and Ribavirin

17

Chronic hepatitis of unknown etiology

Autoimmune Hepatitis

18

What is Autoimmune Hepatitis?

Chronic hep of unknown etiology

19

2 Labs for Classic type 1 of Autoimmune Hep

ANA and or Anti Sm Muscle +

20

Treatment for autoimmune hep

Prednisone

21

True or false: alcoholic liver disease is often reversible

TRUE

22

Most common cause of cirrhosis in the US is:

Alcoholic liver disease