jaundic e Flashcards

1
Q

pathophys of jaundice

A

rbc broken down into heam + globin
heme broken into BR
br transported by albumin to liver
liver accepts br
conjugation
enters circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

criggler najar

A

cause of pre- hepatic jaundice
AR
deficiency of enzyme

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

causes of prehaptic jaundice

A

crigler najar
gilbert
hemolytic anemias- sickle cell, microspheractyosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

causes of conjugated jaundice

A

pancreatitis
carcinnoma of head of pancreas
mirizii syndrome- rare
gallstone
structure
chlonagiocaricnoma
cancer of liver
herdeitary@ dubin johnson + rotror

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

which type of jaundice has br in urine

A

obstructive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

if stools are really dark what subsance is inside

A

stercoilibin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

urobilogen is in urine

A

pre haptic jaundice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

mirizzie sydnrome

A

a complication of gallstone where they impact at the junction where the cystic duct meets the hepatic duct

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how do gallstone relate to jaundice

A

because they can move anywhere along the bile ducts and dislodge

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

if you suspect somone has pancreatitis top questions to ask

A
  1. HISTORY OF GALLSTONE
  2. ALCOHOL
  3. HYPERCALCEMIA
  4. STEROIDS
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

PNEUMONIC FOR PANCREATETITIS DRUGS

A

FAT SHEEP

Furosemide
Azathioprine/Asparaginase
Thiazides/Tetracycline
Statins/Sulfonamides/Sodium Valproate
Hydrochlorothiazide
Estrogens
Ethanol
Protease inhibitors and NRTIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

KEY SYMPTOMS FOR PANCREATIIS

A

STABBING like pain epigatric radiating to the bac
vomitting

pain releived by sitting forward tripod

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

why are they hypovolemia

A

third spacing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

complications of the overwheming inflattory response in pancreattitis

A

LUNG INJURY
pleural effusiosn
AKI (hypovelmeia)
hypocalcemia
HYPERGLCYCEMIA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

score we use for pancreatitis

A

glascow

remembered using the acronym
PANCREATITIS

How well did you know this?
1
Not at all
2
3
4
5
Perfectly