Hepatic

Question 1

Common lab tests to assess liver function

Answer 1

ALT
AST
ALP
Albumin and total protein
Bilirubin

Question 2

Define jaundice and the clinical manifestations

Answer 2

Jaundice is caused by the build-up of bilirubin secondary to liver dysfunction
Clinical manifestations include yellowing of the skin and eyes

Question 3

Describe portal hypertension and its effects of ascites and esophageal varices

Answer 3

Elevated pressure in your portal venous system. The portal vein is a major vein that leads to the liver.
The most common cause of portal hypertension is cirrhosis of the liver.

Major complications are ascites and varices

Question 4

Describe ascites

Answer 4

Not completely understood
* Ascites is defined as the pathologic accumulation of fluid in the peritoneal cavity.
* It is the most common complication of cirrhosis, which is the most common cause of ascites in the United States, accounting for approximately 85% of cases.
* Within 10 years after the diagnosis of compensated cirrhosis, about 50% of patients will have developed ascites

Question 5

Describe assessment of the pt with ascites

Answer 5

Increased abdominal girth
* Rapid weight gain
* Dyspnea
* Striae and distended veins on the abdomen