GI - PowerPoint/4 Flashcards
metabolic cirrhosis is usually caused by
genetic metabolic storage disorders
variable color feces is to which jaundice
intrahep
ascites
accumulation of fluid in the peritoneal cavity
cirrhosis - alcoholic liver disease: enlargement of the liver is to
initial stage - fatty liver
advanced cirrhosis manifestations
5
- ascites
- peripheral edema
- esophageal varices
- jaundice
- encephalopathy
irreversible inflammatory, fibrotic liver disease
cirrhosis
excessive hemolysis of RBC leads to increased what in blood
unconjugated bilirubin that the liver cannot process
renal sodium and water retention can cause (liver)
ascites
cirrhosis caused by biliary cirrhosis is associated with
immune disorders
cirrhosis can be caused by
4
- alcoholic liver disease
- biliary cirrhosis
- postnecrotic cirrhosis
- metabolic issues
causes abdominal distention
ascites
cirrhosis - alcoholic liver disease: inflammation, cell necrosis, and fibrous tissue formation
2nd - alcoholic hepatitis
posthep or obstructive jaundice buildup in blood
increased conjugated bilirubin because obstruction blow flow to intestine and causes backup to liver and blood
light colored stools
jaundice
dark urine
jaundice
jaundice is characterized by
3
- dark urine
- yellow discoloration of sclera and skin
- light colored stools
cirrhosis tx
7
- avoid alcohol
- supportive/symptomatic tx
- dietary
- balance electrolytes
- paracentesis
- antibiotics
- liver transplant
cirrhosis linked with chronic hepatitis
postnecrotic cirrhosis
cirrhosis - alcoholic liver disease: third stage, end stage
2
- fibrotic tissue replaces normal tissue
2. little normal function remains
ascites causes what three things
- abdominal distention
- increased abdominal girth
- weight gain
cirrhosis
irreversible inflammatory, fibrotic liver disease
accumulation of fluid in the peritoneal cavity
ascites
increased conjugated bilirubin in blood
posthep or obstructive
caused by hyperbilirubinemia
jaundice/icterus
ascites mortality rate
25% in 1 year if associated with cirrhosis
cirrhosis - alcoholic liver disease: initial stage of fatty liver sx and outcome
asymptomatic and reversible with reduced alcohol intake
alcoholic hepatitis is which stage of alcoholic liver disease cirrhosis
2nd
cirrhosis - alcoholic liver disease stages
3
- initial - fatty liver
- second - alcoholic hepatitis
- third - end stage cirrhosis
normal to dark feces is which jaundice
pre and hemolytic
gall stones cause which jaundice
2
posthep or obstructive
cirrhosis - what becomes obstructed and cause portal HTN
biliary channels
ascites development is associated with
4
- portal HTN
- decreased synthesis of albumin by the liver
- splanchnic vasodilation
- renal sodium and water retention
causes increased abdominal girth
ascites
2 types of jaundice
- obstructive
2. hemolytic
increased unconjugated bilirubin in blood because hepatocellular damage prevents conjugation and excretion
intrahep jaundice
cirrhosis initial manifestations are often what
2
- mild
2. vague
splanchnic vasodilation can cause
ascites
cirrhosis initial manifestations include
4
- fatigue
- anorexia
- weight loss
- anemia
- diarrhea
dull aching pain may be present in upper right abdominal quadrant
initial manifestations of cirrhosis
hemolytic jaundice is what type
prehepatic jaundice
intraheptic jaundice disease
hepatitis
jaundice is caused by
hyperbilirubinemia
cirrhosis - alcoholic liver disease initial stage, fatty liver:
what does the liver look like
enlargement of the liver
jaundice aka
icterus
bilary channels become obstructed and cause portal HTN
cirrhosis
cirrhosis initial manifestations - dull aching pain may be present in
upper right abdominal quadrant
cirrhosis biliary channels
become obstructed and cause portal HTN
postnecrotic cirrhosis is linked with
2
- chronic hepatitis
2. long term exposure to toxic materials
icterus aka
jaundice
increased unconjugated and conjugated bilirubin in blood
intrahep
cirrhosis - alcoholic liver disease: second stage, alcoholic hepatitis
3
- inflammation
- cell necrosis
- fibrous tissue formation (irreversible)
obstructive jaundice types
2
- extrahepatic
2. intrahepatic
alcoholic liver disease can cause
cirrhosis
intrahepatic jaundice cause
increased unconjugated bilirubin in blood because hepatocellular damage prevents conjugation and excretion
cirrhosis esophageal varices may rupture, leading to
2
- hemorrhage
2. circulatory shock
light color feces is to which jaundice
posthep or obstructive
fatty liver is which stage of alcoholic liver disease
initial
cirrhosis link to long term exposure to toxic materials
postnecrotic cirrhosis
most common cause of ascites is what
cirrhosis
excessive hemolysis of RBCs
hemolytic jaundice
cirrhosis severity and rate of progression depend on
the cause
ascites - ____ disorder
liver
increased unconjugated bilirubin in blood
prehap or hemolytic jaundice
prehepatic or hemolytic jaundice e.g.
hemolytic anemia
ascites txd
paracentesis
decreased synthesis of albumin by the liver can cause
ascites
liver portal HTN can cause
ascites
cirrhosis - alcoholic liver disease: asymptomatic and reversible with reduced alcohol intake
initial stage - fatty liver
yellow sclera and skin
jaundice
posthepatic or obstructive jaundice disease
gallstones
hepatitis is what type of jaundice
intrahepatic jaundice
hemolytic jaundice
excessive hemolysis of RBCs
cirrhosis associated with immune disorders
biliary cirrhosis