12. Approach to the patient with liver disease Flashcards

1
Q

Bilirubin is usually between ___ before you can see jaundice

A

5-6

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2
Q

What is the best test for how well a liver is working?

A

INR

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3
Q

What are the only things that give levels of aminotransferases over 500?

A
Hep A and B
AI hepatitis 
Meds
Ischemia
Stone passage
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4
Q

How can you tell the difference between NAFL and NASH?

A

Biopsy to look for inflammation and fibrosis

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5
Q

People with non-NASH NALF more often die of

A

Heart problems

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6
Q

What should you do if the discriminant function in a patient with alocholic liver disease is over 32?

A

Treat with

  • prednisone
  • pentoxifylline
  • *along with nutritional support
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7
Q

What do you treat a patient with AIH with?

A

Prednisone

Azothioprine

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8
Q

What antibodies might be found in AIH?

A

Type I: ANA, ASMA

Type 2: ALKM

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