Lab Di 2 test 2 Flashcards

1
Q

Cholelithiasis

A
  1. 90% of all gallbladder and duct disease

2. stones or calculi in gallbladder

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2
Q

Choledocholithiasis

A
  1. 1 in 10 have this (cholelithiasis already)
  2. gallstones in common bile duct
  3. gives obstruction to bile flow leading to jaundice and itching
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3
Q

cholecystitis

A
  1. acute or chronic inflammation of GB impacting cystic duct
  2. acute= middle age
  3. chronic = old
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4
Q

gallstone ileus

A
  1. are

2. gallstone into intestine causing blockage

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5
Q

billary cirrhosis

A
  1. ascending infection of bilary system
  2. leads to obstructive jaundice
  3. involves portal and periportal system
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6
Q

stone analysis
cholesterol
diagnosis

A

US

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7
Q

stone analysis
Bile Pigment Stones
diagnosis

A

HIDA scan: cystic duct obstruction

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8
Q

stone analysis
mixed
diagnosis

A

echography/xrays

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9
Q

Cardiovascular tests

categories

A
  1. MI-lab tests
  2. CAD/CHD
  3. primary and secondary HTN
  4. CHF
  5. DVT
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10
Q

MI Tests

current

A
  1. CK
  2. CKMB (CK2)
  3. Troponin
  4. Myoglobin (sometimes)
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11
Q

Mi Tests

classic

A
CPK
CPK electro
LDH
LDH electro
SGOT
SGPT
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12
Q

Post MI lab tests levels
CK
earliest increase

A

3-6 hours

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13
Q

Post MI lab tests levels
CK
max level

A

24-36 hours

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14
Q

Post MI lab tests levels
CK
return to normal

A

3 days

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15
Q

Post MI lab tests levels
CK
amplitude X normal

A

7x

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16
Q

Post MI lab tests levels
troponin
earliest increase

A

3- 6 hours….slightly earlier than CK

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17
Q

Post MI lab tests levels
troponin
Max level

A

12-16 hours

18
Q

Post MI lab tests levels
troponin
return to normal

19
Q

Post MI lab tests levels
troponin
Amplitude X normal

20
Q

Post MI lab tests levels
AST
earliest increase

21
Q

Post MI lab tests levels
AST
Max Level

A

24-48 hours

22
Q

Post MI lab tests levels
AST
Return to normal

23
Q

Post MI lab tests levels
AST
Amplitude X normal

24
Q

Post MI lab tests levels
LDH
Earliest increase

A

10-12 hours

25
Post MI lab tests levels LDH MAX level
48-72 hours
26
Post MI lab tests levels LDH Return to normal
10-12 hours
27
Post MI lab tests levels LDH Amplitude X normal
4x
28
CK indications
1. MI 2. Skeletal Muscle disease 3. Neurologic disease
29
Troponin indications
1. chest pain due to cardiac ischemia 2. specific for cardiac muscle injury 3. prediction of future cardiac problems
30
What distinguishes cardiac from skeletal forms of troponin?
ELISA pg 39
31
Troponin clinical implications
1. differentiation btw cardiac and non-cardiac pain 2. evaluation of unstable angina 3. estimation of size of an MI 4. Detection of reperfusion associated with coronary recanalization 5. detection of periperative MI
32
Myoglobin indications
1. early diagnosis of a MI | 2. skeletal muscle injury of disease
33
Myoglobin elevation indicates
1. MI 2. skel mm inflammation (myositis)/ ischemia 3. trauma 4. mm dystrophy 5. seizures 6. rhabdomyolysis
34
CAD/CHD | screening
1. Cholesterol 2. Triglyceride 3. HDL 4. Lipoprotein electro 5. Lipid ratio
35
Cholesterol | indications
1. CHD and hyperlipidemia | 2. part of a lipid profile
36
Cholesterol | clinical considerations
1. Fasting 2. diet 3. alcohol
37
hypercholesteremia
1. familial 2. hyperlipidemia 3. hypothyroidism 4. DM uncontrolled 5. MI 6. stress 7. atherosclerosis 8. biliary sclerosis
38
Hypocholesteremia
1. malnutrition 2. malabsorption 3. HYPERthyroidism 4. pernicious anemia 5. hemolytic anemia 6. septicemia 7. liver disease
39
increased mortality risk comes with cholesterol levels are greater than
160 mg/dl
40
Lipoproteins
HDL, LDL, VLDL
41
HDL ratio ideal
3:1
42
LDL=
total cholesterol - (HDL+triglyceride/5)