cm3

Question 1

cholestatic pattern of LFT’s

Answer 1

significant increase of ALP,
GGT and bilirubin (mostly conjugated)

Question 2

charcots triad

Answer 2

jaundice, fever, jaundice

Question 3

dx os definite in cholangitis is:

Answer 3

fever, lab evidence of inflammatory response, jaudice, abnormal LFT’s + biliary dilation or evidence of etiology

Question 4

reynolds pentad

Answer 4

charcot triad plus confusion and hypotension (associated with supportive cholangitis)

Question 5

mirrizzi syndrome

Answer 5

extrenisic common hepatic duct obstuction

Question 6

mirrizi is associated with what cancer

Answer 6

bladder

Question 7

physicla findings cirrohsis

Answer 7

palmar eryethema, spider talengectasia, jaundice, cynomastia, tesiticular atrophy, lower hair in men, asictes (dull to percussion), liver may be any size, splenomegaly, caput medusa, cruveiller-baumgartner murmer (vnous hum in portal hypertension), umbilical hernia, hepatic enpehalopapyh

Question 8

extremity changes in cirrhosis

Answer 8

terry nails (1/3 red, 2/3 white), clubbing dupuytrens contracture (flexion deformity), Meuhrcke nails (white banding)

Question 9

cirrohsis liver enzymes

Answer 9

ALT/AST with AST moreson
ALP (not super elevated, 2-3x)

Question 10

what is the tx for bacterial peritonitis

Answer 10

cefotaxime