chapter 43 f2f part 2 Flashcards

1
Q

LDH means

A

lactate dehydrogenase

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2
Q

lactate dehydrogenase is found in what tissues?

A

heart
muscle
rbc

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3
Q

what consists of the Serum Protein Studies?

A

LDL
HDL
Triglycerides

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4
Q

give additional diagnostic test for liver

A

liver biopsy
ultrasonography
ct scan
mri

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5
Q

this diagnostic test is used to know the texture, size of the liver

A

ultrasonography

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6
Q

this diagnostic test is used to know the tumor in the liver

A

liver biopsy

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7
Q

this diagnostic test is more clear than the CT scan and cross sectional

A

MRI

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8
Q

what should be asked in the health history (hepatic disorder)?

A

exposure to hepatotoxic substances or infectious agents
travel, alcohol, drug use
lifestyle

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9
Q

what should be inspected in PHYSICAL ASSESSMENT?

A

skin
cognitive
palpation
percussion

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10
Q

what should be assess in the skin of a px with hepatic disorder?

A

jaundice
bruise
stretch marks

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11
Q

what should be assess in the cognitive of a px with hepatic disorder?

A

confusion

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12
Q

brain dysfunction due to liver dysfunction

A

hepatic encephalopathy

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13
Q

enlargement of the spleen

A

splenomegaly

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14
Q

“graveyard of red blood cells”

A

splenomegaly

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15
Q

enlargement of the liver

A

hepatomegaly

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16
Q

this organ removes old and damaged RBCs from the body

17
Q

increased pressure throughout the portal venous system that results from obstruction of blood flow into and through the damaged liver

A

portal hypertension

18
Q

two major consequences of portal hypertension

A

ascites
varices

19
Q

Hepatic Dysfunction leads to?

A

cirrhosis of liver

20
Q

NAFLD means

A

nonalcoholic liver fatty disease

21
Q

(NASH) means

A

nonalcoholic steatohepatitis

22
Q

build-up of fats in the liver; unrelated to alcohol

23
Q

represents a more serious condition within the broad spectrum of NAFLD

24
Q

what are the manifestation of Hepatic Dysfunction

A

jaundice
portal HPN
ascites and varices
hepatic encephalopathy

25
Q

Neuro abnormality in the liver due to ammonia; liver can’t filter out ammonia; can’t convert urea

A

hepatic encephalopathy

26
Q

what should be checked in hepatic encephalopathy?

A

confusion
disoriented
personal changes

27
Q

a flapping tremor

28
Q

yellow or greenish yellow sclera and skin due to ↑ serum bilirubin levels