Alcoholic hepatitis and more Flashcards

1
Q

What is alcoholic liver disease

A

a term that encompasses the liver’s develop after overconsumption of alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the types of alcoholic liver diseases

A

Hepatocellular steatosis or fatty liver
Alcoholic hepatits
Liver Cirrhosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is hepatocellular steatosis

A

it is an accumulation of fatty acid in the liver cells. lips droplet that accumulate in the liver cells. it is reversible

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is alcoholic hepatitis

A

inflammation of hepatocytes through alcohol.. it leads to the hepatocytes swelling and necrosis. it is characterized by Mallory Pink bodies in the hepatocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is Liver cirrhosis

A

it is a late stage of serious liver (Hepatocellular carcinoma) disease marked by inflammation, fibrosis. it appears as enlarged, pale, yellow

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the characteristics of a fatty liver

A

Painful
hepatomegaly
no fever
no neutrophilic leukocytes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the characteristics of alcoholic hepatitis

A
painful
fever 
hepatomegaly 
neutrophilic leukocyte 
ascites 
GI bleeding ( varices ) 
AST> ALT 
Increased GGT and ALP 
Increased conjugated and PT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is NAFLD

A

The prescience of hepatic steatosis or Fatty liver in the absence of alcohol consumptions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What causes NAFLD

A
Metabolic syndrome and DM 
and 2 of the following: 
Blood Pressure 
Dyslipidemia 
Central obesity 
microalbuminuria
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is acute liver failure

A

the rapid development of hepatocellular dysfunction specifically coagulopathy and mental status changes in the patient w/o liver disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are the compilation of acute liver disease

A
Jaundice 
scleral icterus
hepatic encephalopathy 
Asterixis 
coagulopathy 
portal hypertension 
heptaorenal syndrome
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is chronic liver failure and cirrhosis

A

conditions in which the liver does not function properly due to the long term damage that usually takes months or years.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What are the common causes of chronic liver failure

A

Chronic hepatitis B and C
Alcoholic
NAFLD

other causes: 
Hemochromatosis 
Wilson disease 
Alpha-1 antitrypsin def
primary biliary cirrhosis
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What are the manifestations of chronic liver disease

A
Jaundice 
Pruritis 
Increased Estrogen 
Palmar erythema 
Spider anigomas
hypogonadism 
Gynecomastia 
Xantheslesma 
Portal hypertension
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the drugs that cause gynecomastia

A

Some Drugs Create Awesome Knockers

Spironolactone 
Digitalis 
Cimetidine 
Alcohol 
Ketoconazole
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the blood supply

A

Portal vein, Hepatic Vein

17
Q

What are complications with portal hypertension

A

Esophageal varices
splenomegaly
melena
Ascites, Hemorrhages, Caput Medusa

18
Q

What is ascites

A

it is excess fluid accumulation in the peritoneal cavity

19
Q

What are the physical exam of ascites

A

bulging flanks

shifting dullness fluid wave test

20
Q

What is the SAAG score

A

Serum albumin to Ascites albumin

> 1.1g = cirrhosis, portal HTN

21
Q

What is the treatment of ascites

A

paracentesis

22
Q

What are the complications to ascites

A

Spontaneous Bacterial Peritonitis
Bacterial Infection in peritoneum
Patient w/ worsening
ascites w/ fever, chills, abdominal pain

23
Q

What is the diagnostic criteria of ascites

A

absolute neutrophil count > 250 cells

24
Q

What is the MCC of ascites

A

E.Coli