Ikterus Flashcards

1
Q

Vad ger intrahepatisk ikterus?

A

Leverparenkymskada - ökar både konjugerat och icke konjugerat bilirubin

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2
Q

Vad ger posthepatisk ikterus?

A

Gallgångsocklusion

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3
Q

I vilka situationer ser man ökad halt av icke konjugerat bilirubin?

A

Hemolys

Vid hepatocellulär skada

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4
Q

Vilka tillstånd ger prehepatisk ikterus?

A
Hemolys 
Sfärocytos 
Thalassemi
Sepsis 
Malaria
Hjärtsvikt
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5
Q

Vad ger hepatica ikterus?

A

Hepatit
Cirros
Crigler najar syndrom

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6
Q

Vilken färg på urin och avföring vid prehepatisk ikterus?

A

Normal

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7
Q

Färg på avföring vid hepatica ikterus?

A

Mörk urin

Normal avföring

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8
Q

Färg på avföring och urin vid posthepatisk ikterus?

A

Mörk urin

Kittfärgad feces.

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9
Q

Vid vilka tillstånd kan bilirubin ej konjugeras?

A

Gilbert syndrom
Viral hepatit
Crigler najjar
Cirros

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10
Q

Patogenes vid crigler najjar?

A

Dålig funktion i glukuronyltransferas.

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11
Q

Patogenes vid Gilbert syndrom?

A

Defekt glukuronyltransferas + minskat upptag av bilirubin till levern.
Ger ökning av okonjugerat bilirubin?

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12
Q

I vilka symtom manifesteras Gilbert syndrom?

A

Efter stress - fysisk ansträngning, fasta, rökning, alkoholintag, tentamen.

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13
Q

Vilka tillstånd ger feber, ont under arcus samt ömmande lever?

A
Viral hepatit 
Cholangit 
Cholecystit 
Mononukleos 
Toxisk leverskada
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14
Q

Orsak till ikterus hos gravida?

A
Hyperemesis gravidarium 
Intrahepatisk kolestas under grav 
Preeklampsi 
HELLP 
Graviditetsrelaterad akut fettlever.
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15
Q

Vad ger prehepatisk ikterus?

A

Hemolys - ökad halt av bilirubin

Försämrad transport

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