Diseases of the Liver DSA

Question 1

how do you calculate SAAG

Answer 1

serum albumin minus ascitic fluid albumin

Question 2

normal peritoneum SAAG level equal to or over 1.1 g/dL causes

Answer 2

portal hypertesion (hepatic congestion, liver disease, portal vein occluison)

Question 3

normal peritnoueum SAAG level under 1.1

Answer 3

hypoalbumineria and miscellaneous conditions

Question 4

diseased peritneum SAAG under 1.1

Answer 4

infections, malignant conditions and other conditions

Question 5

most ascites is secondary to what so pts should be asked about risk factors for

Answer 5

chronic liver disease

risk factors for liver disesae

Question 6

what is budd chieari syundrome

Answer 6

thrombosis of the hepatic veins

Question 7

signs of chronic liver disease

Answer 7

palmar erythema
spider angiomas
gynecomastia
muscle wasting
asterixis

Question 8

what is anasarca and from what

Answer 8

full body edema

nephrotic disease with hypoalbuminemia or heart failure

Question 9

mild elevations (5x normal) of hepatic ALT-predominant

Answer 9

chronic hep B,C,D
acute viral hepatitis (A-E)
steatosis/steatohepatitis
hemochrom
meds
autoimmune hep
alpha-1 antitryp
wilson
celiac

Question 10

mild elevations (5x normal) of hepatic AST-predominant

Answer 10

alcohol related liver injuryu (AST:ALT)

cirrhosis

Question 11

mild elevations (5x normal) nonhepatic

Answer 11

strenusous exercise

hemolysis

Question 12

severe elevations (>15x normal) of aminotransferase elevations

Answer 12

acute viral hepatitis (A-E, herpes)
meds
ischemic hepatitis
autoimmune
wilson
acute bile duct obstruction
acute budd chiari