Hepatoxicity Flashcards

1
Q

Portal triad vessel

A

3 vessels of bile duct, artery and vein, protected within the walls of a single vessel.

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2
Q

Why is the liver vulnerable to toxicity?

A

It is the first organ to come into contact with large amounts of the substance.

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3
Q

Hepatotoxicity

A

Liver damage caused by exposure to substances like medications, chemicals an toxins, which leads to impaired liver function and liver failure.

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4
Q

Results of hepatotoxicity

A

Necrosis, apoptosis, hypertrophy, hyperplasia, fibrosis, choleostasis, mitochondrial dysfunction.

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5
Q

Necrosis

A

Death and degradation of tissue within a living body.

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6
Q

Functions impaired due to hepatotoxicity

A

Biotransformation, filtration particulates, protein-synthesis, bile formation, nutrient homeostasis

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7
Q

Clinical signs of hepatotoxicity

A

Albumin levels low
Alkaline phosphatase levels high
Bilirubin levels high
5’NT levels high
Liver enzymes found in blood.

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8
Q

Drugs that can cause hepatotoxicity

A

Paracetamol and halothane

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9
Q

Effects of Carbon tetrachloride

A

Metabolically activated by p450 enzyme, producing a free radical molecule, which binds proteins and lipids together, causing severe hepatotoxicity.

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10
Q

Paracetamol process of hepatotoxicity

A

Forms a reactive metabolite N-acetyl-p-benzoquinoneimine, which depletes glutathione.

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