chapter 43 f2f part 2 Flashcards
LDH means
lactate dehydrogenase
lactate dehydrogenase is found in what tissues?
heart
muscle
rbc
what consists of the Serum Protein Studies?
LDL
HDL
Triglycerides
give additional diagnostic test for liver
liver biopsy
ultrasonography
ct scan
mri
this diagnostic test is used to know the texture, size of the liver
ultrasonography
this diagnostic test is used to know the tumor in the liver
liver biopsy
this diagnostic test is more clear than the CT scan and cross sectional
MRI
what should be asked in the health history (hepatic disorder)?
exposure to hepatotoxic substances or infectious agents
travel, alcohol, drug use
lifestyle
what should be inspected in PHYSICAL ASSESSMENT?
skin
cognitive
palpation
percussion
what should be assess in the skin of a px with hepatic disorder?
jaundice
bruise
stretch marks
what should be assess in the cognitive of a px with hepatic disorder?
confusion
brain dysfunction due to liver dysfunction
hepatic encephalopathy
enlargement of the spleen
splenomegaly
“graveyard of red blood cells”
splenomegaly
enlargement of the liver
hepatomegaly
this organ removes old and damaged RBCs from the body
spleen
increased pressure throughout the portal venous system that results from obstruction of blood flow into and through the damaged liver
portal hypertension
two major consequences of portal hypertension
ascites
varices
Hepatic Dysfunction leads to?
cirrhosis of liver
NAFLD means
nonalcoholic liver fatty disease
(NASH) means
nonalcoholic steatohepatitis
build-up of fats in the liver; unrelated to alcohol
NAFLD
represents a more serious condition within the broad spectrum of NAFLD
NASH
what are the manifestation of Hepatic Dysfunction
jaundice
portal HPN
ascites and varices
hepatic encephalopathy
Neuro abnormality in the liver due to ammonia; liver can’t filter out ammonia; can’t convert urea
hepatic encephalopathy
what should be checked in hepatic encephalopathy?
confusion
disoriented
personal changes
a flapping tremor
asterixis
yellow or greenish yellow sclera and skin due to ↑ serum bilirubin levels
jaundice