Chronic Hepatitis Flashcards

1
Q

what is chronic hepatitis?

A

Hepatic inflammation beyond 6 months

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2
Q

What are causes of chronic hepatitis

A

Causes may include viral, metabolic, autoimmune and drug induced

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3
Q

what are symptoms of chronic hepatitis

A
Nausea
· Anorexia
· Weight loss
· Tremors 
· Jaundice 
· Dark Urine 
· Fatigue
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4
Q

what blood tests are associated with chronic hepatitis?

A

· Increased AST
· Increased ALT
· Increased Bilirubin
· Leukopenia

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5
Q

what is the appearance of liver parenchyma in chronic hepatitis

A

Liver parenchyma is coarse

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6
Q

Will there be increased or decreased brightness of portal triads

A

Decreased

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7
Q

what can be said about the degree of attenuation in chronic hepatitis?

A

degree of attenuation is not as great as with infiltration

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8
Q

what occurs to the size of the liver in chronic hepatitis

A

Does not increase in size

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9
Q

what may fibrosis produce in chronic hepatitis

A

Fibrosis may produce soft shadowing posteriorly

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10
Q

differential diagnosis of chronic hepatitis

A

· Cirrhosis

· Hepatitis

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11
Q

what is Reidel’s lobe?

A

Normal variant of the right lobe of the liver. This variant can extend as far down as the iliac crest

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12
Q

what are symptoms of Reidels lobe

A

This is considered to be a normal variant and does not have any additional symptoms associated with it

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13
Q

what is the appearance of Reidel’s lobe?

A

Inferior extension of the right lobe, which is considered to be a normal variant. This normal variant may extend down as far as the iliac crest

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14
Q

Chronic persistent hepatitis

A

is a benign, self-limiting process.

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15
Q

Chronic active hepatitis

A

usually progresses to cirrhosis and liver failure

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16
Q

what occurs in chronic active hepatitis

A

more extensive changes occur than in chronic persistent hepatitis, with inflammation extending across the limiting plate, spreading out in a perilobular fashion, and causing piecemeal necrosis, which is frequently accompanied by fibrosis. `