Hepatic, Pancreatic, & Billiary Flashcards
Common signs and symptoms of Hepatic diseases
Dark urine
Light stools
Skin changes
Spider angiomas
Neurologic sx
Skin changes observed in Hepatic diseases
Jaundice
Pallor
Orange or green skin
What is a common sx of a liver dse
Jaundice
Jaundice is a result of an overproduction of
Bilirubin
Diseases associated with overproduction of Bilirubin
Hemolysis
Reabsorption of Hematoma
Diseases associated with decreased Bilirubin
Gilbert syndrome
Jaundice
Diseases associated with Hepatocyte dysfunction
Hepatitis
Chronic Hepatic dse
Diseases associated with Impaired Bile flow
Cholelithiasis
Primary sclerosing cholangitis
Pancreatic cancer
Pancreatitis
Final common pathway of chronic, progressive inflammation of the liver
Cirrhosis
Pathology of cirrhosis
Progressive loss of normal tissue that is replaced with fibrosis and nodular regeneration
S/Sx of Cirrhosis
Fatigue
Weight loss
Jaundice
Hypoalbuminemia
Laboratory findings in a patient with Liver Cirrhosis
Increased ALT, AST, LDH
Increased PT
Decreased Albumin
An increase in the hepatic sinusoidal pressure of more than 6 mmHg
Portal HTN
Other causes of portal HTN
Thrombus
Tumor
Infection
Complication of Portal HTN
GE Varices
Another name for Hepatic Encephalopathy
Portosystemic Encephalopathy
Another name for Hepatic Encephalopathy
Portosystemic Encephalopathy
Pathogenesis of Hepatic Encephalopathy
Increased levels of Ammonia
Inflammation
Onset of Hepatic Encephalopathy
Insidious
Clinical manifestations of Hepatic E.
Cognitive changes
Asymptomatic Hepatic E.
Grade 0
Hepatic E. that presents with slight personality changes, short attention span, tingling, and muscular incoordination
Grade 1
Hepatic E. that presents with asterixis, myoclonus and Ataxia
Grade 2
Hepatic E. that presents with Hyperventilation, (+) Babinski, and Incoherent speech
Grade 3
Hepatic E. that presents with comatose
Grade 4
Abnormal accumulation of fluid in the peritoneal cavity
Ascites
Most common cause of Ascites
Portal HTN
A severe complication of of advanced Cirrhosis
Hepatorenal Syndrome
Hepatorenal syndrome with rapid onset and prognosis. It also carries a poor short-term prognosis
Type 1 (Rapid)
Hepatorenal syndrome that presents with an insidious onset and slow progression.
Type 2
Key feature of Hepatorenal syndrome
Ascites
Classifications of Chronic Hepa
Chronic persistent
Chronic active
Causes of chronic hepa
Virus
Medications
Metabolic abnormalities
Autoimmune d/o
Symptoms of advanced chronic hepa
Acute exacerbation
Nausea
Weight loss
Muscle weakness
How to diagnose for Chronic hepa
Serologic testing
Liver biopsy
A rapidly progressing form of liver inflammation without prior liver dse
Fulminant Hepa (Acute Liver Failure)
Causes of Fulminant Hepatitis
Idiosyncratic drug reaction
Acetaminophen hepatotoxicity
Infections
former name for Hepa C
Post-transfusion non-A, non-B hepatitis
Infections that may causes Fulminant Hepatitis
Hepa A & B
Epstein-Barr
Cytomegalovirus
Varicella-roster
Herpes Simplex virus
Hepatic Ischemia
Incubation period of HAV
15-50 days
Incubation period of HBV
1-6 mos
Incubation period of HCV
1 wk to 6 mos
Formerly known as infectious hepatitis
Hepatitis A
Transmission route for Hepa A
Fecal-oral route
Transmission route for Hepa B
Percutaneously or through mucosal contact
Sexual intercourse
transmission route for Hepa C
Injection use