6a. Liver disease Flashcards
Anatomy of the liver and biliary tree
What is the biliary tree
Where is the liver found
Upper right quadrant of abdomen
What are the ducts of the liver
Intrahepatic duct - ducts within the liver
Extrahepatic duct - when it exist the liver
Common hepatic duct
What are the lobes of the liver
4 lobes
Left
Right
Caudate
Quadrate
How do liver , gall bladder and pancreas work together
What are the functions of the liver?
What are the types of liver disease?
What are the two main causes of liver disease?
What are the autoimmune causes of liver disease?
EXTRA
- if have autoimmune hepatitis + receive transplant = cured
- if have transplant + have liver dysfunction due to excessive alcohol consumption or viral hepatits, then can occur again even if liver transplanted
Other causes of liver disease
EXTRA
2. = genetic condition involved in the metabolism of iron hence cannot be excreted + tends to be exhibited around vital organs such as liver, pancreas, heart, lungs, brain
- condition is treated by regular blood letting
to help reduce Hb + keep it within normal range
- sometimes also treated with drug
- = similar to 2 BUT reduced copper metabolism
Liver malignancies ?
Can be either primary or secondary
Dental considerations of liver diseases?
NEED TO TAKE BLOOD TESTS BEFORE TREATING PATIENTS WITH LIVER DISEASE
Dental considerations of liver disease pt 2
Drug metabolism
What are the blood tests required before treating patients?
What does INR check?
What does APTT check?
Why is intrinsic system called intrinsic?
Why is extrinsic called extrinsic
Interpreting liver biochemistry
When looking at liver function, what are the three most important enzymes
Example blood test
What do you think this pt has
Example blood test what do you think the patient has
Eg blood test
What does the pt have
Eg blood test - MOST IMPORTANT EXAMPLE
What does the pt have
Eg blood test
What does the pt have
Eg blood test
What does the pt have
