Lange - Chap 4 - Abdomen

Question 1

AST

Answer 1

liver cell necrosis due to

• viral hepatitis
• toxic hepatitis
• acute hepatitis

Question 2

ALT

Answer 2

-used to assess jaundice with hepatocellular disease

Question 3

ALP (Alk-Phos)

Answer 3

-When bile excretion is impaired (obstruction of the bile ducts)

Question 4

Ammonia

Answer 4

hepatocellular disease

Question 5

AFP

Answer 5

• Monitor chemo treatment

- prenatal mothers for neural tube defects

Question 6

Bilirubin

Answer 6

> Direct- obstruction
Indirect- anemia and liver disease
Total- Hepatitis and mets

Question 7

Hematocrit

Answer 7

Drop in hematocrit indicates bleeding - likely due to trauma

Question 8

Leukocytosis

Answer 8

Inc in WB indicates an inflammatory process or abscess

Question 9

PT

Answer 9

Decrease in PT can cause uncontrolled hommorrhage

clotting time is longer in pts with acute cholecystitis, GB carcinoma and CBD obstruction

Question 10

Urinary bile/bilirubin

Answer 10

• obstructive liver disease

- bilirubin alone = excessive amount of RBC destruction

Question 11

Urinary urobilinogen

Answer 11

Complete obstruction of biliary tract vs incomplete obstruction of biliary tract
>increase = liver disease or infection
>no excessive amt in urine = complete biliary tract obstruction

Question 12

Fecal urobilinogen

Answer 12

>increase = hemolysis
>decrease = complete destruction

Question 13

WBC

Answer 13

increase = infection (cholecystitis, cholangitis, etc.)

Question 14

Serum Bilirubin

Answer 14

Increases with obstruction or GB carcinoma

Question 15

Amylase

Answer 15

Acute Pancreatitis: Increase within the first 24 hours

Question 16

Lipase

Answer 16

Acute Pancreatitis: Remains elevated for 5-14 days