Hepatic Flashcards

1
Q

What are the risk factors for NAFLD

A

older age
obesity
poor diet
sedentary
T2DM
hyperlipidemia
HTN
smoking

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2
Q

true or false: NAFLD is associated with metabolic syndrome

A

true

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3
Q

what is the most frequent case of cirrhosis

A

NASH

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4
Q

which ethnicity has a higher risk for NAFLD

A

hispanics

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5
Q

which abx are more likely to be implicated in drug induced liver injury

A

amox/clav
macrobid
septra
minocycline

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6
Q

why are many people not aware when they have developed an acute hepatitis

A

because the symptoms are similar to a mild viral illness

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7
Q

increased AST and ALT indicated what?

A

liver problem

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8
Q

increased ALP, GGT and bili indicates what

A

cholestasis

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9
Q

what happens to albumin in cirrhosis or acute liver failure

A

decreased

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10
Q

what symptoms happen from decreased albumin

A

pleural effusions
ascites
peripheral pitting edema

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11
Q

patients with liver disease have increased risk of bleeding or increased risk of clots

A

increased risk of bleeding

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12
Q

PT/INR would be increased or decreased in liver injury

A

increased

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13
Q

what is an acute significat elevation in AST and ALT

A

> 1000

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14
Q

what AST/ALT level would be more indicative of a chronic problem

A

<500

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15
Q

what might you suspect in a patient with obesity, HTN, DM and increased AST/ALT levels

A

NAFLD

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16
Q

if AST/ALT > ALP, what kind of damage is suspected

A

hepatocellular

17
Q

and AST:ALT ratio >3 strongly indicates what

A

alcoholic hepatitis

18
Q

if ALP>AST/ALT what source if likely

A

cholestatic

19
Q

what are risk factors for NASH

A

obesity
T2DM
Hyperlipidemia
metabolic syndrome
poor diet and sedentary