Jaundice

Question 1

name the cardiac markers

Answer 1

troponin T and I

Question 2

what is CRP

Answer 2

marker of acute illness; infection

Question 3

what is ESR

Answer 3

non specific indicator of disease

Question 4

what does a liver panel consist of

Answer 4

bilirubin
enzymes
ALT, GGT, ALP
albumin
clotting

Question 5

what organ creates albumin

Answer 5

liver

Question 6

what is normal bulirubin

Answer 6

2-20 micromols

Question 7

when is jaundice clinically detectable

Answer 7

40-50 mmols

Question 8

what enzyme is associated with hepatocellular jaundice

Answer 8

ALT

Question 9

what enzyme is associated with cholestatic jaundice

Answer 9

ALP

Question 10

what is prehepatic jaundice

Answer 10

excess bilirubin production
haemolysis
rhabdomyolysis

causes unconjugated bilirubin

Question 11

what is the main liver enzyme

Answer 11

ALT

Question 12

what would the liver panel be in hepatocellular jaundice

Answer 12

increase bilirubin

increase ALT

Question 13

What enzyme is stimulated by some drugs and alcohol

Answer 13

GGT

Question 14

what enzymes are found in post hepatic or cholestatic jaundice

Answer 14

high ALP and GGT

Question 15

What enzyme is a marker of bone disease

Answer 15

ALP

Question 16

what type of jaundice would you have dark urine

Answer 16

cholestatic

Question 17

what are the two types of cholestatic jaundice

Answer 17

intrahepatic cholestasis (tumour, drugs, viruses)

extrahepatic cholestasis
gallstones, pancreatic ca, billiard tract ca

Question 18

what would the liver panel be in cholestatic jaundice

Answer 18

raised ALP
ALT moderately raised
dark urine