GI - PowerPoint/4 Flashcards

(73 cards)

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
ascites mortality rate
25% in 1 year if associated with cirrhosis
26
cirrhosis - alcoholic liver disease: initial stage of fatty liver sx and outcome
asymptomatic and reversible with reduced alcohol intake
27
alcoholic hepatitis is which stage of alcoholic liver disease cirrhosis
2nd
28
cirrhosis - alcoholic liver disease stages | 3
1. initial - fatty liver 2. second - alcoholic hepatitis 3. third - end stage cirrhosis
29
normal to dark feces is which jaundice
pre and hemolytic
30
gall stones cause which jaundice | 2
posthep or obstructive
31
cirrhosis - what becomes obstructed and cause portal HTN
biliary channels
32
ascites development is associated with | 4
1. portal HTN 2. decreased synthesis of albumin by the liver 3. splanchnic vasodilation 4. renal sodium and water retention
33
causes increased abdominal girth
ascites
34
2 types of jaundice
1. obstructive | 2. hemolytic
35
increased unconjugated bilirubin in blood because hepatocellular damage prevents conjugation and excretion
intrahep jaundice
36
cirrhosis initial manifestations are often what | 2
1. mild | 2. vague
37
splanchnic vasodilation can cause
ascites
38
cirrhosis initial manifestations include | 4
1. fatigue 2. anorexia 3. weight loss 4. anemia 5. diarrhea
39
dull aching pain may be present in upper right abdominal quadrant
initial manifestations of cirrhosis
40
hemolytic jaundice is what type
prehepatic jaundice
41
intraheptic jaundice disease
hepatitis
42
jaundice is caused by
hyperbilirubinemia
43
cirrhosis - alcoholic liver disease initial stage, fatty liver: what does the liver look like
enlargement of the liver
44
jaundice aka
icterus
45
bilary channels become obstructed and cause portal HTN
cirrhosis
46
cirrhosis initial manifestations - dull aching pain may be present in
upper right abdominal quadrant
47
cirrhosis biliary channels
become obstructed and cause portal HTN
48
postnecrotic cirrhosis is linked with | 2
1. chronic hepatitis | 2. long term exposure to toxic materials
49
icterus aka
jaundice
50
increased unconjugated and conjugated bilirubin in blood
intrahep
51
cirrhosis - alcoholic liver disease: second stage, alcoholic hepatitis 3
1. inflammation 2. cell necrosis 3. fibrous tissue formation (irreversible)
52
obstructive jaundice types | 2
1. extrahepatic | 2. intrahepatic
53
alcoholic liver disease can cause
cirrhosis
54
intrahepatic jaundice cause
increased unconjugated bilirubin in blood because hepatocellular damage prevents conjugation and excretion
55
cirrhosis esophageal varices may rupture, leading to | 2
1. hemorrhage | 2. circulatory shock
56
light color feces is to which jaundice
posthep or obstructive
57
fatty liver is which stage of alcoholic liver disease
initial
58
cirrhosis link to long term exposure to toxic materials
postnecrotic cirrhosis
59
most common cause of ascites is what
cirrhosis
60
excessive hemolysis of RBCs
hemolytic jaundice
61
cirrhosis severity and rate of progression depend on
the cause
62
ascites - ____ disorder
liver
63
increased unconjugated bilirubin in blood
prehap or hemolytic jaundice
64
prehepatic or hemolytic jaundice e.g.
hemolytic anemia
65
ascites txd
paracentesis
66
decreased synthesis of albumin by the liver can cause
ascites
67
liver portal HTN can cause
ascites
68
cirrhosis - alcoholic liver disease: asymptomatic and reversible with reduced alcohol intake
initial stage - fatty liver
69
yellow sclera and skin
jaundice
70
posthepatic or obstructive jaundice disease
gallstones
71
hepatitis is what type of jaundice
intrahepatic jaundice
72
hemolytic jaundice
excessive hemolysis of RBCs
73
cirrhosis associated with immune disorders
biliary cirrhosis