hepatobiliary ?'s with Will Flashcards

1
Q

liver functions tests (how well liver makes these things)

A

Bilirubin

PT/INR

albumin

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2
Q

tests of liver injury (components that get released by damaged liver cells)

A

ALT, AST

alk phos1

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3
Q

what other situation besides liver/biliary dz is alk phos raised? and what test to differentiate?

A

bone dz

measure GGT

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4
Q

why are platelets decreased in liver diseae?

A

liver makes thrombopoeitin –> platelet growth

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5
Q

spontaneous bacterial peritonitis happens how?

A

bacteria can enter more easily in ascites environment

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6
Q

what is INR?

A

ratio of vit K coag factors in patient to normal person

how well liver can use vit K to make clotting factors

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7
Q

3 types of acute liver injury

A
  • hepatocellular (inc ALT, AST)
  • cholestasis (inc alk phos)
  • mixed
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8
Q

causes of ascites

A
  • heart failure
  • liver failure
  • kidney failure
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9
Q

how to decipher between the etiologies of ascites? what lab?

A

SAG- serum ascites albumin gradient
nl 2.2-3.5

if >1.1 –>cardiac
if <1.1–> liver, kidney

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10
Q

what is S3?

A

heart failure sound

triplet sound

lots of blood hitting wall against floppy ventricle in diastole

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11
Q

S4?

A

atrial kick hits stiffened left ventricle wall

sounds like grace note

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12
Q

what dz does hepatic venous pressure gradient measure?

A

portal HTN

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13
Q

what dz does 24 hr urine total protein?

A

nephrotic syndrome

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14
Q

___% of patients with hep B will go on to develop cirrhosis

A

10%

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15
Q

is polyp in gallbaldder ever normal?

A

no- premalignant for cholangiocarcinoma

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16
Q

how long do you anticoagulate after DVT/PE?

A

3-6 months