hepatic screening

Question 1

a hepatic/biliary pathology indicates dysfunction of what 3 organs

Answer 1

liver, gallbladder, and common bile duct

Question 2

the ____ provides a small reservoir for bile under the liver.

Answer 2

gallbladder

Question 3

skin changes associated with hepatic/biliary disease might include jaundice (or orange/green tints), spider angiomas, and ____(3)

Answer 3

pruritis (itching) , bruising, palmar/plantar erythema

Question 4

3 nailbed changes we might see in someone with hepatic/biliary dysfn are:

Answer 4

clubbed nails, koilonchia (spoon nail), and leukonychia

Question 5

where in the abdomen would we expect to see primary hepatic pain patterns?

Answer 5

RUQ, epigastric area

Question 5

hepatic osteodystrophy, is an MSK presentation that puts people at greater risk of OA at ____as well as increase risk of ____

Answer 5

wrists and ankles; rhabdomyolysis

Question 6

Confusion, sleep dosturbance and peripheral N issues are all related to general signs of hepatic/biliary dysfn. What are some motor signs?

Answer 6

tremors, hyperreflexia, asterixis (“jazz hands” )

Question 7

tea-colored urine or light colored stool can result from improperly excreted____–usually resulting from gallbladder disease, pancreatic cancer or _____

Answer 7

bilirubin; hepatotoxic medication

Question 8

liver disease can present itself via gynecomastia as well as the following conditions related to body fluids:

Answer 8

edema, oliguria, and ascites

Question 9

hepatitis can be an acute or chronic result of one of these 4 causes: ____

Answer 9

virus, chemical, drug rxn or alcohol abuse

Question 10

T/F: A majority of acute hepatitis cases in the US are Hepatitis A-C. They almost always require hospitalization.

Answer 10

false. they rarely do but mild to mod cases may later require a transplant.

Question 11

what are 4 general risk factors for hepatitis?

hint:a wild date night with sushi and tattoos could include them all…

Answer 11

needle exposure, unprotected sex, severe alcoholism, and raw shellfish consumption.

Question 12

____is transmitted via fecal-oral route with a vaccine but not medication. In addition to regular hepatic infection s/s, specific s/s are pharyngitis, altered taste/smell + 4

Answer 12

HAV; indigestion, diarrhea, loss of desire for cigarettes or alcohol

Question 13

____is transmitted via exposure to infected fluid and can give a 25% chance of being predisposed to develop chronic liver disease. It can be asymptomatic or include:____

Answer 13

HBV; full body-rash, fever, painful bloating+ other hepatic s/s