GI Clin 2 Flashcards
Chronic Hep- for how long? commn sxs? 3 bigger
may have what complication? others?
Immuhe complex extrahepatic? if HBV? HCV?
biopsy- grade? is assement of? stage?
test/image that shows presence or abscence of fibrosis?
Autoimmune hep
type 1- antibodies present? gender? age? classic pres? blood test?
type 2? antibody?
treatment?
incr risk? of?
Alcohol liver disease SAAG is?
how much alc? in men? women?
most common precursor to? problem in history? gender more susceptible? cofactor?
toxic factor? alcoholic cirrhosis risk?
lab? what is elevated?
treatment? also? but need to do with? or?
fatty liver aka? reversible?
Alchohol liver disease
tx- give what to patient? why? liver transplant only if? prolonged?
identical findings to? histo?
alcoholic hep- can see?
alcohol
wernicke ______? see what treat with?
korsakoff? from?
severe hep- what is present?
maddrey discriminant function? measures? poor prog if?
MELD/MELD-Na score? score=high mortality?
Glasgow hep score- based on bad score? give?
NAFLD
less than how much etoh? most common cause of?
higher risk? caused by? 3 biggies
protects against NAFLD? toxin risk factor? cirrhosis unhcommon in what pop?
elevated?
biopsy= type of infiltration? by? bodies? not contraindicated?
Hemochromatosis- inherited? mutation in? chrom? specific? gender? suspect if? high? age?
risk for advanced fibrosis? 3 classic tetrad?
tx? avoid? administer?? increased iron due to? where?
elevated serum? saturated?
test for?
increased risk of infection? especially???
Wilson disease- inheritance? chrom? specific? age? impaired what? accumulation where? leads to?
look for? age? or?
type of manifestations? location?
elevated?
low?
in eye? in brain? tx?
a 1 antitrypsin defic- inheritance? accumulate where?
seen with it often? type? genotype?
tx? most common cause of?
Chronic HBV- location? or what pop? risk of? =
Chronic HCV?- what pop? what slows progression?
curable? normaL:? high risk of?
Liver in heart failure
right HF leads to?
reflex present?
worse outcome if?
markedly elevated?
ischemia whats elevated?
treat?
Cirrhosis
acute? chronic? most common causes? 4
reduce risk if? 2 CBC? 3
type of imaging? look at?
dx depends on? EGD checks for?liver insufficiency is?
Cirrhosis
clin manhifestations? long list. increaes with severity? evidence of deficiencies?
abstain from? vacines? contraindicated???? avoid????
TIPS?
child pugh- predicts?
complications? 3
Portal hypertension
how high? can cause?
non-cirrhotic portal htn??
liver cell failure?
Ascites- accum where? how much? SAAG?
feel like? imparied? budd-chiari? detect how???
risks? may be malignant if?
tb peritonitis if?
if patient deteriorates? perform? why?
check what in fluid? best single test?
Hepatic encephalopathy
whats fucked up? sign? leads to?
treatment?
whats high?
Spontaneous bacterial peritonitis- infection of? type of bacteria???
tx? if recurrent?
prevention?
check for this early via???
neutrophil count?
Secondary bacterial peritonitis
infected by? causes? 4
presence of?? tx?
HCC
gender? cirrhosis? age? high incidence with? exposure to? this is affiliated with what tumor suppressor?
symptoms?
can see abnormality on? (imaging) rising level of?
tx?
if hep C/B may prevent cancer if treated with?
