hepatology Flashcards
(33 cards)
name some liver functions
Bile drainage
Blood glucose
Detoxification
where does bilirubin come from
by product of haem metabolism
when is ALP raised
biliary obstruction
what level does alcohol raise
GGT
synthetic liver functions
albumin and prothrombin time
G6PD deficiency
haemolytic anaemia
inheritance of G6PD deficiency
X linked recessive
G6PD deficiency precipitants
aspirin, antimalarial, antimicrobial, infection, illness
how to diagnose
spot test
if only bilirubin is down where is the problem
prehepatic
examples of prehepatic causes of low bilirubin
sickle cell, thalassaemia
gilberts inheritance
anutosomal dominant
what is antinuclear antibodies positive
autoimmune hepatitis
type one autoimmune hepatitis antibodies
smooth muscle antibidies
ANA
type two autoimmune hepatitis diagnosis
there are no antibodies so biopsy
autoimmune hepatitis treatment
steroids and azathioprine
ALP is raised and gamma GT raised
biliary obstruction
what to do with biliary obstruction
do an ultrasound to see where the blockage is
what are anti mitochondrial antibodies positive in
primary biliary cholangitis
symptoms of primary biliary cholangitis
pruritus and tiredness
primary biliary cholangitis common sex
female
what types of disease is primary biliary cholangitis
autoimmune
primary biliary cholangitis has a long
latent period
most common symptom of primary biliary cholangitis
itching