Gastroenterology 1 Flashcards
Entecavir or Tenofovir in osteoporotic patients?
Entecavir side effect?
Use Entecavir (guanoside analogue inhibitor) Tenofovir can cause fanconi syndrome - RTA II - low Ca
Lactic acidosis
What factors is protective against hepatotoxicity?
Acute alcohol ingestion
Hypophosphatemia
Most sensitive screening tool for hemachromatosis?
High Transferrin saturation levels
Most common mode of transmission for Hep B?
Vertical transmission
Commonest Hepatitis C genotype in Australia?
Genotype 1
Entecavir or Tenofovir in decompensated cirrhosis?
Entecavir
Extraintestinal manifestations independent of IBD activity
Ankylosing spondylitis Uveitis PSC Pyoderma Gangrenosum Kidney,gall stones
Extraintestinal manifestations dependent of IBD activity
ALONE - very dependent Large joint arthritis Oral ulcers Nodosum erythema Episcleritis
Ratio of transmission in clinical setting from known source
Hep B
Hep C
HIV
Hep B 1 : 3
Hep C 1 : 30
HIV 1 : 300
False negative results for Hep C examples?
Diabetes
Previous transplant
Contracted virus within 6 weeks ago
Acute rejection of liver transplant - what normally do you see?
Obstructive LFT picture
When to test for Hep C antibodies after childbirth?
> 1 year after childbirth - if not false positive
What high transferrin levels highly specific for hematochromatosis?
Men > 60%
Women > 50%
Difference of hemochromatosis and iron transfusional overload?
Hemachromatosis - iron deposited in parenchymal cells first = ferritin normal
Iron transfusional overload - iron deposited in reticuloendothelial cells = ferritin high
Ferritin ( iron storage)
AST > ALT ratio = > 1 - what cause?
AST > ALT ratio = > 2 - what cause?
AST > ALT ratio = > 4 - what cause?
> 1 = NAFLD/ non-alcoholic cirrhosis eg. Hep C
2 = Alcoholic liver disease/ HCC
4 = Wilson’s disease