IOD infection stuff

Question 1

raised alt vs raised alp + GGT

Answer 1

alt- hepatic inflammation

alp + GGT think cholestatic

Question 2

follow up tests for abnormal liver function

Answer 2

abdo uss
hep c surface antigen
anti smooth musce ag
ferritin
serum igs
hep b surface ag
antimitochondrial ab
antinuclear ab
transferrinn stauration

Question 3

whats a good marker for liver cancer

Answer 3

alpha fetoprotein

present when there is chirrotic thest gone to cancer and there is then generation of tissue by the tumour

Question 4

conjugated vs unconjucaged jaudice apperance and occurances

Answer 4

physiological jaundice- unconjugated– clears in new born babies

jaundice at birth is almost always pathological- suggests haeolysis- conjugated jaundice usually