GI Exam 2 (Signs) Flashcards
Gilbert Syndrome
Jaundice
Mild condition in which the liver does NOT properly process bilirubin
Critter-Najjar Syndrome
Jaundice
A rare inherited disorder affecting the metabolism of bilirubin
Acetaminophen Toxicity (Most common)
Encephalopathy AND Imparied Synthetic Function (INR > 1.5)
Acute Liver Failure
Presence of ___________ is diagnostic of acute illness (HAV)
IgM anti-HAV
Hallmark of infection (HBV)
HBsAg = Surface antigen
HBV
Anti-HBs = antibody to HBsAg
Post-clearance and after successful vaccination
IgM anti-HBc =
IgG anti-HBc =
Acute HBV
Chronic HBV
HBeAg + 3 months =
Chronic HBV
Confirmatory Lab for HCV
Anti-HCV EIA (POS) —> PCR (Confirmatory)
Hepatitis
Severe in pregnant patients
E
ONLY in association w/ HBV Infection
HDV
Caput Medusae
C-B Murmur
Cirrhosis
Chronic Anovulation
Amenorrhea
Impotence, Infertility
Gynecomastia
Cirrhosis (Endocrine)
CBC — Thrombocytopenia
Hepatic Panel — Hypoalbuminemia
Cirrhosis
Accumulation of iron
Hemochromatosis
Kaiser-Fleischer Rings — Brownish or greenish ring at the corner-scleral junction
Wilson Disease
Acute Cholangitis
Charcot Triad —>
Reynolds Pentad —>
Charcot Triad —> Acute Cholangitis
RUQ pain, Fever/Chills, Jaundice
Reynolds Pentad —> Acute SUPPURATIVE Cholangitis (Surgical Emergency)
Charcot Triad + Altered Mental Status + HOTN
Courvoisier sign, painless, often w/ dilated biliary tree
Palpable gallbladder w/ painless obstructive jaundice
“Normal” alpha-fetoprotein
Carcinoma of the Biliary Tract (Cholangiocarcinoma)
Cullen’s Sign or Grey-Turner Sign
Acute Pancreatitis (Severe)
Abd pain, Jaundice, Weight loss + Courvoisier sign
Pancreatic Cancer
Lab: CA 19-9
Pancreatic Cancer
Autoimmune Hepatitis
Extrahepatic Manifestations
Arthritis Sjogren syndrome Thyroiditis Nephritis Ulcerative Colitis Coombs-positive hemolytic anemia
INC risk of cirrhosis & cancer
