Abnormal Findings In Liver Disease

Question 1

Hepatic cell destruction

Hepatitis

Answer 1

Elevated AST

Question 2

Hepatic cell destruction
Hepatitis
Most specific indicator

Answer 2

Elevated ALT

Question 3

Hepatic cell disease

Answer 3

Elevated serum total bilirubin

Question 4

Acute liver disease

Answer 4

Increased serum total protein

Question 5

Chronic liver disease

Answer 5

Decreased serum total protein

Question 6

Severe liver disease

Answer 6

Decreases serum albumin

Question 7

Immune response to liver disease

Answer 7

Elevated serum globulin

Question 8

A sudden decrease in urine flow of less than 500 mL in 24 hours(oliguria)
Elevated BUN and creatinine levels with abnormally decreased urine sodium excretion
And increased urine osmolarity

These are manifestations of

Answer 8

Hepatorenal syndrome
This indicates a poor prognosis for the patient with liver failure
Often occurs after clinical deterioration from GI bleeding or the onset of hepatic encephalopathy
May also complicate other liver diseases including acute hepatitis

Question 9

Patients with cirrhosis and as cites may develop?

Answer 9

Acute bacterial peritonitis

Those very susceptible are patients with advanced liver disease
This may be result of very low concentrations of proteins. Proteins normally provide some protection against bacteria

Question 10

The diagnosis of spontaneous bacterial peritonitis is made when sample of ascitic fluid is obtained by paracentesis for cell counts and culture. An ascitic fluid leukocyte count of more than what indicates need for treatment?

Answer 10

250 polymorphonuclear leukocytes