Hepatobiliary Flashcards
what is the MCC of liver dz?
acute viral hepatitis
what is HCC?
hepatocellular caricinoma
what is PBC?
primary biliary cirrhosis
what is PSC?
primary sclerosing cholangitis
which are the fecal-oral types of virus?
HAV, HEV
what is FHF?
fulminate hepatic failure
what is the incubation period of HBV?
2weeks to 3months
what is a common comorbidity with cirrhosis?
HCC
what is MCC of fulminant acute hepatic failure?
acetaminophen
what is budd chiari syndrome?
blood vessels become occluded
how do you treat acute hepatic failure?
correct metabolic abnormalities and other complications
what is a 2g sodium restriction?
pt is not allowed to salt any food in front of them
what is a TIPS procedure?
bypass vasculature in the liver and go around it
what do all cirrhotic pts always get eventually?
portal HTN
with pt in acute hep B phase test surface antigen then do what?
3 mo later test core antibody to identify acute leading to chronic infection
what is the role of the kupffer cell?
phagocytosis
which vessels bring blood into the liver?
hepatic arteries and portal vein
which vessels bring blood out of the liver?
central vein leading to the hepatic vein
how should you think about the liver?
brain of the rest of the body
what protein metabolism does the liver perform?
synthesis proteins, albumin, prothrombin and fibrinogen
converst NH3 to urea
what is gillbere’s disease?
normal LFTs with a high bilirubin
problem with conjugation that happens in times of stress
when you deal with the liver, what should you differentiate?
liver injury
liver dysfunction
which LFT is more specific to liver inflammation and hepatic necrosis?
ALT
what can happen to platelets in late liver dz?
sequestered in the spleen
