Hepatobiliary Flashcards
Etiology of low albumin
“Osi”
Cirrhosis
Nephrosis
Gastrosis
What are LFTs?
6 values
Total protein Albumin Tbili Dbili AST AlkPh ALT
What is a protein gap and what is it’s etiology?
Tpro - Albumin = protein gap
If the protein gap is > 4:
Autoimmune Sepsis Hiv - Elisa Hep C - hep c ab MM - SPEP, UPEP
What is the etiology of an elevated AST by itself?
Muscle breakdown
Get: CK, CPK
What is the etiology of an elevated AlkPh?
By itself Bone
Order GGT for hepato biliary etiology
What is the etiology of an AST/ALT ratio 2:1?
Etoh, cirrhosis
What is the etiology of AST and ALT in the thousands?
Budd Chiari Autoimmune hepatitis Acute viral hepatitis A/B Shock Liver Tylenol
What is etiology of elevated AST, ALT, +/- AlkPh/ D bili?
Hepatocellular injury
What is the etiology of elevated AlkPh & Dbili, +/- AST ALT?
Obstruction
i.e. Choledocolithiasis
What is etiology of painful jaundice?
Choledocolithiasis
What is etiology of painless jaundice?
Cancer or stricture
What are the basic causes of jaundice?
Pre-hepatic intrahepatic or posthepatic
Elevated AlkPh, +/- Dbili, no obstruction.
Infiltration
Get bx
Pre-hepatic Jaundice is associated with which type of Bilirubin?
Unconjugated (indirect) usually from Hemolysis
Post hepatic Jaundice is associated with which type of Bilirubin?
Conjugated (direct) usually from obstruction
