Klin kem

Question 1

increase in ALT

Answer 1

VITEMIN D
Vascular (hypoxia)
Infl (hepatit,pancr,enter,perito)
Trauma/Tox
Endocrine
Metabolic (lipidosis,storage)
Inf (lepto,FIP, CAV-1, bakt)
Neoplasi
Drugs

Question 2

FIBRINOGEN

Answer 2

PILKA
Up:      Pregnancy,
            Inflammation
Down: Leversvikt, 
           Koagulopatier
           hypofibrinogenemia A

Question 3

ALP

Answer 3

ALP: CHymy Dinosaur, Bringer of Excrements and neoplasia! Ta gärna GGT oxå.
Cholestas (intrahep, extrahep inkl pancreas)
Drugs (cortison, anticonvulsants)
Bone (inkl hyperPTH)
Endocrine (cush, hyperT)
Neoplasia ( HCC, pancr, lymfom, nod hyperplasi)

Question 4

Neutropenia

Answer 4

PAD-HIKA
nedsatt Prod
Aplasi(idiop, cyclic)
Drugs (aza, chemo)
Hypersplenism
Inf (FIV, FeLV, Parvo, Retro)
ök. Konsumtion (sepsis, endotox)
Addison

Question 5

Neutrophilia

Answer 5

PADLes
Production (inf, infl)
Anemia (regen)
Drugs?ARg?
Leukemi (kron granulocytär)
Stress

Question 6

Microangiopathic anemia

Answer 6

VaLeDI-HUG
Vaskulit
Leversjd
DIC
HSA
Uremi
GN

Question 7

Benmärgsskada

Answer 7

RIDIT IN
Radiation
Infection
MyeloDysplasi
Immune-mediated
Toxicity (incl drugs)
Idiopathic
Neoplasi

Question 8

BILIRUBIN

Answer 8

Always Craving Gilmore Dosages (pre- hep- post-)
Anemia (pre-hepatic)
Cholestasis intra(cirrhos,HL,NH) & extra
Gallblåseruptur
Duodenal ruptur

Question 9

Bile acids

Answer 9

Helpful Pretty Chilly Me (catts gim)
Hepto-dysfunktion
PSS
Cholestas
Malteser

Question 10

Amylase o lipas

Answer 10

Per G
Pancreatitis
Enteritis
Renal (utsöndring)
Glucocorticoids (lipas)

Question 11

LYMPHOCYTOSIS

Answer 11

KLAA
Kron antigenstim (bab, leishm, ehrl, IBD, kolangieh)
Leukemi
Addison
Adrenalin

Question 12

EOSINOPHILIA

Answer 12

PANT PEAH!
Parasiter (endo, ekto)
Allergi
Neoplasi (eos leuko, MCT, solida, lymfom)
Toxoplasma
Pregnancy
Eos granuloma complex
Addison
Hypereos syndrome

Question 13

MONOCYTOSIS

Answer 13

GGIILLS
Glucocorticoids
Granulomatös sjd
Infl (kronisk)
Inf (kronisk)
Leukemi x2 (monocytic, myelomonocytic)
Stress

Question 14

HYPERCHOLESTEROLEMIA

Answer 14

PINCH ELK
Postprandial
Idiopathic
Nephrotic syndrome
Chylomicronemia
Endocrine
LPL-deficiency
Kolestas

Question 15

HYPOCHOLESTEROLEMIA

Answer 15

Intake S intestine (LeMP) Endoc (A) Liver (LP)

SLeMPALP
Svält
LymfangiEktasi
Malassimilation
PLE
Addison
Leversvikt
PSS

Question 15

Vad misstänka om ASAT ökad men varken CK eller ALT?

Answer 15

Vissa typer av leverskada kan ge detta mönster

Question 16

Vilka två huvudetiologier kan ge hepatocellular, cholestatic or mixed patterns of injury?

Answer 16

Vaskulär PSS, MVD tex

Tox! Anamnes viktig, även vaccin då: LEPTO viktigt att fundera över