Hepatic disorders - red Flashcards

1
Q

itis?
osis?
Fulminant?

A

itis - inflammation of
osis - pathological condition
Fulminant - rapid, sudden, severe

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2
Q

Most people with acute hepatitis ______ with no ______; mortality is?

A

recover, complications

<1%

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3
Q

Hepatitis A

  • most often seen in these countries
  • transferred via this route
  • diagnostic sign?
A

developing
fecal-oral
tea coloured urine

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4
Q

Hepatitis B

  • Prevalence?
  • importance of vaccine
A

most prevalent strain in the world

vaccine part of WHO’s list of essential medicines

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5
Q

HCV:

  • most common cause of this
  • __% of people infected are ______
A

most common cause of chronic liver disease and liver transplant Sx in Canada
70% of people infected are unaware

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6
Q

HDV:

- reportable, ____ must precede infection by HDV

A

HBV

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7
Q

What does icteric mean?

A

jaundice phase of hepatitis

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8
Q

Toxic and drug induced hepatitis:

  • Liver necrosis occurs 2-3 days post exposure to toxic substances
  • _____ clients at higher risk

These substances are often culprits.

A

elderly

alcohol and acetaminophen

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9
Q

Cirrhosis:
- eventually, there is loss of liver function and other complications such as an accumulation of fluid in the abdominal cavity - _____, a confused mental state and internal bleeding.

The only treatment is _______; although there are over 5000 liver deaths per year, there are only about ____ _______

A

ascites

transplantation
400 transplants

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10
Q

Cirrhosis:

- Symptoms are generally quite generalized except for these two.

A

Ascites

esophageal varices

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11
Q

How many drinks per week is safe?

A

Men - 3 drinks per day, or 15 drinks/wk - should have 2-3 non drinking days

Women - 2 drinks/day - 10 drinks/wk - should have 2-3 non drinking days

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12
Q

Each standard drink of alcohol contains ____ of alcohol

A

13.6g

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13
Q

What are the 4 questions of the CAGE questionaire?

What score is clinically significant?

A

1 - have you ever felt you should CUT down on your drinking?
2 - Have people ANNOYED you by criticizing your drinking?
3 - Have you ever felt bad or GUILTY about your drinking?
4 - Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover (EYE-OPENER)

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14
Q

The two major cancers that start in the liver are?

A
hepatocellular carcinoma
Intrahepatic chalngiocarcinoma (bile duct carcinoma)
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15
Q

Liver transplantation:

- Canada has one of the ______ organ donation rates globally (__:________). Why?

A

lowest
15:1 000 000
B/C we have a horrible system of asking for donations - need written consent while still alive

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16
Q

What are ten ways to maintain a healthy liver?

A

MMA IS SES FV

1 - Avoid too many/unnecessary meds
2 - Never mix meds w/out MD advice
3 - Careful use of aerosols
4 - Avoid insecticide/chemical contact on skin
5 - teach kids to not touch used needles (syringes)
6 - lead by example - eat well
7 - minimize smoked, cured, and salted food
8 - Increase the amount of fibre in family diet
9 - screen high risk populations
10 - get vaccinated, get tested

17
Q

AA slogan?

Support group for spouse, family and friends of alcoholic loved one.

A

One day at a time

Al-Anon

18
Q

First step of AA?

A

Admit you are powerless over alcohol

19
Q

What is the serenity prayer?

A

God grant me the serenity to accept the things I cannot change, courage to change the things I can, and the wisdom to know the difference.