FUNCIONES HEPATICAS Flashcards

1
Q

ALBÚMINA

A

4 – 6 g/L

El valor disminuye por disminución de la síntesis secundaria a insuficiencia hepatocelular,

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2
Q

ALT

A

<35U/L

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3
Q

AST - GOT

A

<45 U/L

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4
Q

FA

A

30 – 120 UI/L

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5
Q

BT

A

0.1 a 1.2 mg/dL

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6
Q

GGT

A

<30UI/

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7
Q

PATRON HEPATOCELULAR

A

1.- AST, ALT
2.- BT, FA

-Hepatitis viral
-Hepatitis autoinmune
-Medicamentos y toxinas (Principalmente paracetamol)
-Obesidad, diabetes o dislipidemia

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8
Q

PATRON COLESTÁCICO

A

1.- FA, BT
2.- AST, ALT

> GGTP Confirma el origen hepático

> Bilirrubina conjugada –> COLANGITIS

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9
Q

valores de bilirrubina que provocan ictericia.

A

> 2 mg/dl

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10
Q

Bilirrubina directa o conjugada

A

<0.3 mg/dL

Se eleva en enfermedades
hepatobiliares o sepsis

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11
Q

TP

A

factores de la coagulación X, VII,V, II

–> 11 -13.5

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12
Q

TTPA

A

–> 32-35

VIII, IX,XI,XII

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13
Q

patrón infiltrativo

A

1.- Elevación predominante FA
2,- ALT, AST
3.- BT

-Neoplasias malignas
-Granulomas
-Abscesos

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14
Q

DX VHA

A

IgM anti VHA
IgG anti VHA

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15
Q

Hepatitis B aguda

A
  • AgHBs
  • AgHBe
  • IgM anti HBc
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16
Q

Hepatitis B crónica

A
  • IgG anti HBc
  • AgHBs
  • AgHBe –> replicativo o no
17
Q

Hepatitis B Curación

A
  • IgG anti HBc
  • Anti HBsAg
  • Anti HBe
18
Q

Vacunación contra hepatitis B

A

Anti-HBs

19
Q

Hepatitis C

A

IgM anti VHC

–> sin inmunidad

20
Q

Hepatitis D

A

Coinfección –>HBsAg, IgM anti HBc, IgM anti VHD

Sobreinfeccion –>HBsAg, IgG anti HBc, IgM anti VHD

21
Q

Tratamiento de Hepatitis B

A

Interferón pegilado

22
Q

Tratamiento de Hepatitis C

A

Interferón pegilado + Rivabirina

23
Q

Hepatitis fulminantes

A

VHA 1%
VHB 1%
VHE 1% general y hasta 20% embarazo

24
Q

Hepatitis que más cronifica

A

VHC 80%

25
Q

Hepatitis con mayor asociación a cirrosis

A

VHD 50%
VHC 35%