jaundic e Flashcards
pathophys of jaundice
rbc broken down into heam + globin
heme broken into BR
br transported by albumin to liver
liver accepts br
conjugation
enters circulation
criggler najar
cause of pre- hepatic jaundice
AR
deficiency of enzyme
causes of prehaptic jaundice
crigler najar
gilbert
hemolytic anemias- sickle cell, microspheractyosis
causes of conjugated jaundice
pancreatitis
carcinnoma of head of pancreas
mirizii syndrome- rare
gallstone
structure
chlonagiocaricnoma
cancer of liver
herdeitary@ dubin johnson + rotror
which type of jaundice has br in urine
obstructive
if stools are really dark what subsance is inside
stercoilibin
urobilogen is in urine
pre haptic jaundice
mirizzie sydnrome
a complication of gallstone where they impact at the junction where the cystic duct meets the hepatic duct
how do gallstone relate to jaundice
because they can move anywhere along the bile ducts and dislodge
if you suspect somone has pancreatitis top questions to ask
- HISTORY OF GALLSTONE
- ALCOHOL
- HYPERCALCEMIA
- STEROIDS
PNEUMONIC FOR PANCREATETITIS DRUGS
FAT SHEEP
Furosemide
Azathioprine/Asparaginase
Thiazides/Tetracycline
Statins/Sulfonamides/Sodium Valproate
Hydrochlorothiazide
Estrogens
Ethanol
Protease inhibitors and NRTIs
KEY SYMPTOMS FOR PANCREATIIS
STABBING like pain epigatric radiating to the bac
vomitting
pain releived by sitting forward tripod
why are they hypovolemia
third spacing
complications of the overwheming inflattory response in pancreattitis
LUNG INJURY
pleural effusiosn
AKI (hypovelmeia)
hypocalcemia
HYPERGLCYCEMIA
score we use for pancreatitis
glascow
remembered using the acronym
PANCREATITIS