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

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2
Q

criggler najar

A

cause of pre- hepatic jaundice
AR
deficiency of enzyme

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3
Q

causes of prehaptic jaundice

A

crigler najar
gilbert
hemolytic anemias- sickle cell, microspheractyosis

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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

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5
Q

which type of jaundice has br in urine

A

obstructive

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6
Q

if stools are really dark what subsance is inside

A

stercoilibin

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7
Q

urobilogen is in urine

A

pre haptic jaundice

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8
Q

mirizzie sydnrome

A

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

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9
Q

how do gallstone relate to jaundice

A

because they can move anywhere along the bile ducts and dislodge

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10
Q

if you suspect somone has pancreatitis top questions to ask

A
  1. HISTORY OF GALLSTONE
  2. ALCOHOL
  3. HYPERCALCEMIA
  4. STEROIDS
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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

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12
Q

KEY SYMPTOMS FOR PANCREATIIS

A

STABBING like pain epigatric radiating to the bac
vomitting

pain releived by sitting forward tripod

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13
Q

why are they hypovolemia

A

third spacing

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14
Q

complications of the overwheming inflattory response in pancreattitis

A

LUNG INJURY
pleural effusiosn
AKI (hypovelmeia)
hypocalcemia
HYPERGLCYCEMIA

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15
Q

score we use for pancreatitis

A

glascow

remembered using the acronym
PANCREATITIS

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16
Q

which is the most specific marker for liver injury

A

ALT (remember L for liver)

17
Q

which markers suggest biliary involvement

A

ALP AND GGT

18
Q

ALP found

A

bones and liver

19
Q
A