Flashcards in Hepatobiliary Deck (26):
1
what is the MCC of liver dz?
acute viral hepatitis
2
what is HCC?
hepatocellular caricinoma
3
what is PBC?
primary biliary cirrhosis
4
what is PSC?
primary sclerosing cholangitis
5
which are the fecal-oral types of virus?
HAV, HEV
6
what is FHF?
fulminate hepatic failure
7
what is the incubation period of HBV?
2weeks to 3months
8
what is a common comorbidity with cirrhosis?
HCC
9
what is MCC of fulminant acute hepatic failure?
acetaminophen
10
what is budd chiari syndrome?
blood vessels become occluded
11
how do you treat acute hepatic failure?
correct metabolic abnormalities and other complications
12
what is a 2g sodium restriction?
pt is not allowed to salt any food in front of them
13
what is a TIPS procedure?
bypass vasculature in the liver and go around it
14
what do all cirrhotic pts always get eventually?
portal HTN
15
with pt in acute hep B phase test surface antigen then do what?
3 mo later test core antibody to identify acute leading to chronic infection
16
what is the role of the kupffer cell?
phagocytosis
17
which vessels bring blood into the liver?
hepatic arteries and portal vein
18
which vessels bring blood out of the liver?
central vein leading to the hepatic vein
19
how should you think about the liver?
brain of the rest of the body
20
what protein metabolism does the liver perform?
synthesis proteins, albumin, prothrombin and fibrinogen
converst NH3 to urea
21
what is gillbere's disease?
normal LFTs with a high bilirubin
problem with conjugation that happens in times of stress
22
when you deal with the liver, what should you differentiate?
liver injury
liver dysfunction
23
which LFT is more specific to liver inflammation and hepatic necrosis?
ALT
24
what can happen to platelets in late liver dz?
sequestered in the spleen
25
what is the primary serology test that gets elevated in biliary dz?
alk phosph
26