Pathophysiology Case-Based (2) Flashcards Preview

MS2 - Digestive, Endocrine, and Metabolic Systems > Pathophysiology Case-Based (2) > Flashcards

Flashcards in Pathophysiology Case-Based (2) Deck (18):
1

What is a mesocaval shunt?

A shunt from the mesenteric vein to the vena cava

2

Why is a TIPS or mesocaval shunt contraindicated in someone with heart disease?

You're going to overwhelm the heart with blood.

3

What are two serum markers of autoimmune hepatitis?

ANA and anti-smooth muscle antibody

4

What is DILI?

Drug-induced liver injury

5

What antibiotics can cause DILI?

Bactrim
Minocycline
Augmentin (and other beta-lactams)
Isoniazid

This can occur even three months after the drug is stopped.

6

What treatment is indicated in the disorder that presents with anti-mitochondrial antibodies?

Ursodeoxycholic acid (which prevents progression of fibrosis)

7

The best management in someone with an active GI bleed is ________.

IV access

8

What symptom can help distinguish between ischemic colitis and and diverticular hemorrhage?

Ischemic colitis is typically painful

9

Steroids are used in two liver disease: _______________.

- autoimmune hepatitis
- acute alcohol liver injury

10

Remember that TIPS is contraindicated in _____________.

patients with hepatic encephalopathy

11

Lactulose is given to ________________.

those with hepatic encephalopathy

12

Why do antibiotics treat hepatic encephalopathy?

Because gut bacteria produce ammonia, and killing them lowers it.

13

When is surgical intervention needed for duodenal ulcers?

Perforation (even bleeding that is refractory to endoscopic intervention usually just goes to IR)

14

The body can lose its response to ___________ after long-term use.

ranitidine

15

Melanic is for _______ and melanotic is for _________.

melena; melanoma

16

What test indicates hepatorenal syndrome?

Creatinine

17

What is odynophagia?

Pain with swalowing

18

What are the renal caveats for diagnosing hepatorenal syndrome?

No parenchymal kidney disease
No nephrotoxic drugs
Absence of hematuria
Absence of shock
Low sodium in urine

Decks in MS2 - Digestive, Endocrine, and Metabolic Systems Class (133):