Liver Disease Flashcards

(32 cards)

1
Q

Diagnostic Tests

ANA or SMA, elevated IgG levels, and compatible histology

A

Autoimmune hepatitis

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2
Q

Diagnostic Tests

Mitochondrial antibody, elevated IgM levels, and compatible histology

A

Primary biliary cirrhosis

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3
Q

Diagnostic Tests

P-ANCA, cholangiography

A

Primary sclerosing cholangitis

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4
Q

Diagnostic Tests

Reduced 1 antitrypsin levels, phenotypes PiZZ or PiSZ

A

1 Antitrypsin disease

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5
Q

Diagnostic Tests

Decreased serum ceruloplasmin and increased urinary copper; increased hepatic copper level

A

Wilson’s disease

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6
Q

Diagnostic Tests
a-fetoprotein level >500
US or CT image of mass

A

HCC

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7
Q

Biopsy size adequate

A

1.5-2 cm

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8
Q

most common causes of chronic liver disease in general order of frequency

A

chronic hepatitis C, alcoholic liver disease, nonalcoholic steatohepatitis, chronic hepatitis B, autoimmune hepatitis, sclerosing cholangitis, primary biliary cirrhosis, hemochromatosis, and Wilson’s disease

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9
Q

CPC score

A

A 5-6
B 7-9
C 10-15

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10
Q

Purpose of CPC

A

> predictor of survival
predicts the likelihood of major complications of cirrhosis such as bleeding from varices and spontaneous bacterial peritonitis

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11
Q

Child pugh

A
Bilirubin
Albumin
Prothrombin time
Hepatic encephalopathy
Ascites
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12
Q

cirrhotics screen/surveillance HCC

A

6-12 mo ultrasound liver

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13
Q

Markers autoimmune hepatitis

A

ANA

anti LKM

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14
Q

MArker sclerosing cholangitis

A

p-ANCA

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15
Q

PBC marker

A

AMA

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16
Q

Dupuytren contracture

parotid enlargement-

A

o chronic alcoholism

o alcoholic liver disease

17
Q

Kayser-Fleischer rings

A

Wilson’s disease; olden-brown copper pigment deposited in Descemet’s membrane at the periphery of the cornea

18
Q

Mucocutaneous vasculitis with palpable purpura

A

o cryoglobulinemia of chronic hepatitis C

19
Q

slate gray pigmentation of skin

A

hemochromatosis

20
Q

o xanthelasma and tendon xanthomata

A

o retention and high serum levels of lipids and cholesterol

21
Q

o Hyperpigmentation of skin

A

primary biliary cirrhosis and sclerosing cholangitis

22
Q

Triad of hepatopulmonary syndrome

A
  • liver disease
  • hypoxemia
  • pulmonary AV shunting
23
Q

where seen:
platypnea and orthodeoxia- shortness of breath and oxygen desaturation that occur paradoxically upon assuming an upright position

A

• hepatopulmonary syndrome

24
Q

acute liver failure + hepatic encephalopathy

A

fulminant hepatitis

25
most reliable physical finding in examining the liver
• Hepatic tenderness
26
Significant history of alcohol intake
o Women more than 2 drinks (22-30 g) | o Men more than 3 drinks in men (33-45g)
27
hallmark symptom of liver disease and perhaps the most reliable marker of severity
jaundice
28
jaundice Rarely detectable if bilirubin level
29
most common and most characteristic symptom of liver disease
Fatigue
30
Total serum bilirubin
1-1.5 mg/dL
31
rate-limiting step in bilirubin metabolism
transport of conjugated bilirubin into the bile canaliculi
32
Aminotransferases >1000
(1) viral hepatitis (2) ischemic liver injury (prolonged hypotension or acute heart failure) (3) toxin- or drug-induced liver injury