GI CLIN 1 Flashcards
what is SAAG?
if SAAG is elevated?
If low?
Jaundice
pigmentation where?
hyperbilirubinemia-
clincial jaundice level? higher mean in?
does hemolysis raise level real high?
Jaundice
Hepatocellular vs chosestatic
location of injury?
elevation in what labs?
ALT or AST more specific for liver injury?
symptoms of cholestatic?
True liver function tests?
Bilirubin- indication of? types?
Aminiotransferases- types? tell us about?
Alk phos- indicator of? can see elsewhere?
GGT- tells us?
Coag factors- what measurement? this tells us?
albumin- dropping tells us?
ammonia- tells degree of?
Jaundice
what signs? organs
initial steps- find out whether? order what? looking for?
CMP? for?
if ALP elevated in peds?
first imaging?
Unconjugated/_____ bilirubin
4 causes? which can be both?
hemolysis- order what? look for?
should also be high? 2 low?
look for what in peripheral smear?
Gilbert- type of bili? problem? hyperbilirubinemia increased by?? tx? associated with?
Crigler 1- bili? problem? inheritance?
2- bili? problem? inheritance?
Conjugated/____ bilirubin jaundice
caused by? 5
hepatitis- shows acute? shows chronic?
chronic timing?
image?
meds?
Acute hep- casued by?
stools? pain? skin? check for what drug? how?
HAV
dna/rna? family?
acute/chronic? odd sign?
risk factor? transmission?
symptoms?
vaccine? labs?
antibodies? early? late?
HBV
dna? rna?
symptoms? vascular? transmission via? mothers positive for? chronic infection if infant?
vaccination? whos high risk?
labs? not a feature?
window period? not there? is there? this is important for what?
HBV
is around in window period?
acute? chronic?
if prior infection? in vaccination?
HBsag chronic if around for how long?
HBV DNA parallels? HBeAG tells us?
HDV
aka? dna? rna? requires?
location?
vaccination?
in serum?
non-percutaneous? percutaneously?
HCV
rna? dna? transmission via what not documented?
risk factors?
lead to? can see in serum? vaccine?
screen? who?
dont share what? in serum? most sensitive indicator?
HEV
rna? dna? type of host? big country? risk factors?
spread by what animal? carrier?
transplant patients w/? you see?
high risk for?
in serum?
TOxic/drug induced hep
dependant on? onset? 2 agents? necrosis location??
idiosyncratic? see?
treatment?
Acute liver failure
top two causes? type? can raise AST/ALT? rarely causes?
Acetaminophen- AST/ALT how high? tested via?
treat with? how quickly? get what level?
also elevated? leads to? level?
if not treated?
Fulminant hepitatis what is it? level?
liver? w/? see what signs? liver size? rising? improves survival??
rapidly rising? other test abnorm?
tx? restrict?
oral?
