Hepatobiliary Flashcards Preview

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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

what causes pruritis in gallbladder dz?

alk phosph levels that are high

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