Lab Di 2 test 2 Flashcards

1
Q

Cholelithiasis

A
  1. 90% of all gallbladder and duct disease

2. stones or calculi in gallbladder

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

Choledocholithiasis

A
  1. 1 in 10 have this (cholelithiasis already)
  2. gallstones in common bile duct
  3. gives obstruction to bile flow leading to jaundice and itching
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

cholecystitis

A
  1. acute or chronic inflammation of GB impacting cystic duct
  2. acute= middle age
  3. chronic = old
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

gallstone ileus

A
  1. are

2. gallstone into intestine causing blockage

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

billary cirrhosis

A
  1. ascending infection of bilary system
  2. leads to obstructive jaundice
  3. involves portal and periportal system
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

stone analysis
cholesterol
diagnosis

A

US

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

stone analysis
Bile Pigment Stones
diagnosis

A

HIDA scan: cystic duct obstruction

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

stone analysis
mixed
diagnosis

A

echography/xrays

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

Cardiovascular tests

categories

A
  1. MI-lab tests
  2. CAD/CHD
  3. primary and secondary HTN
  4. CHF
  5. DVT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

MI Tests

current

A
  1. CK
  2. CKMB (CK2)
  3. Troponin
  4. Myoglobin (sometimes)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Mi Tests

classic

A
CPK
CPK electro
LDH
LDH electro
SGOT
SGPT
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Post MI lab tests levels
CK
earliest increase

A

3-6 hours

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

Post MI lab tests levels
CK
max level

A

24-36 hours

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

Post MI lab tests levels
CK
return to normal

A

3 days

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

Post MI lab tests levels
CK
amplitude X normal

A

7x

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Post MI lab tests levels
troponin
earliest increase

A

3- 6 hours….slightly earlier than CK

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Post MI lab tests levels
troponin
Max level

A

12-16 hours

18
Q

Post MI lab tests levels
troponin
return to normal

A

4-9 days

19
Q

Post MI lab tests levels
troponin
Amplitude X normal

A
20
Q

Post MI lab tests levels
AST
earliest increase

A

6-8 hours

21
Q

Post MI lab tests levels
AST
Max Level

A

24-48 hours

22
Q

Post MI lab tests levels
AST
Return to normal

A

4-6 days

23
Q

Post MI lab tests levels
AST
Amplitude X normal

A

5x

24
Q

Post MI lab tests levels
LDH
Earliest increase

A

10-12 hours

25
Q

Post MI lab tests levels
LDH
MAX level

A

48-72 hours

26
Q

Post MI lab tests levels
LDH
Return to normal

A

10-12 hours

27
Q

Post MI lab tests levels
LDH
Amplitude X normal

A

4x

28
Q

CK indications

A
  1. MI
  2. Skeletal Muscle disease
  3. Neurologic disease
29
Q

Troponin indications

A
  1. chest pain due to cardiac ischemia
  2. specific for cardiac muscle injury
  3. prediction of future cardiac problems
30
Q

What distinguishes cardiac from skeletal forms of troponin?

A

ELISA pg 39

31
Q

Troponin clinical implications

A
  1. differentiation btw cardiac and non-cardiac pain
  2. evaluation of unstable angina
  3. estimation of size of an MI
  4. Detection of reperfusion associated with coronary recanalization
  5. detection of periperative MI
32
Q

Myoglobin indications

A
  1. early diagnosis of a MI

2. skeletal muscle injury of disease

33
Q

Myoglobin elevation indicates

A
  1. MI
  2. skel mm inflammation (myositis)/ ischemia
  3. trauma
  4. mm dystrophy
  5. seizures
  6. rhabdomyolysis
34
Q

CAD/CHD

screening

A
  1. Cholesterol
  2. Triglyceride
  3. HDL
  4. Lipoprotein electro
  5. Lipid ratio
35
Q

Cholesterol

indications

A
  1. CHD and hyperlipidemia

2. part of a lipid profile

36
Q

Cholesterol

clinical considerations

A
  1. Fasting
  2. diet
  3. alcohol
37
Q

hypercholesteremia

A
  1. familial
  2. hyperlipidemia
  3. hypothyroidism
  4. DM uncontrolled
  5. MI
  6. stress
  7. atherosclerosis
  8. biliary sclerosis
38
Q

Hypocholesteremia

A
  1. malnutrition
  2. malabsorption
  3. HYPERthyroidism
  4. pernicious anemia
  5. hemolytic anemia
  6. septicemia
  7. liver disease
39
Q

increased mortality risk comes with cholesterol levels are greater than

A

160 mg/dl

40
Q

Lipoproteins

A

HDL, LDL, VLDL

41
Q

HDL ratio ideal

A

3:1

42
Q

LDL=

A

total cholesterol - (HDL+triglyceride/5)