Lecture 35 - Medical Aspects of Chronic Liver Disease Flashcards
On imaging of cirrhotic liver, the ______ lobe of the liver will exhibit Atrophy, while the _____ or _____ lobes will exhibit Hypertrophy. Overall, the liver will appear small and nodular.
Right –> atrohpy
Left or Caudate –> Hypertrophy
_______ is an ultrasound using specific software for the liver to tell you how much Fibrosis is present.
_____ is a blood test that also measures fibrosis.
Fibroscan
Fibrosure
Patients with cirrhosis actually CAN be prescribed _______ for pain and fever, but while the normal maximum dose is 4g/day, for these patients it should be less than ____g/day. However, do NOT prescribe ______.
Acetaminophen
2g/day
NSAIDs
For patients with esophageal or gastric varices, treat acute bleeding episodes with _______ (SST analog), Abs, and banding. When the acute episode is resolved, treat with _____ ___-______ for the hypertension.
Octreotide
Nonselective Beta-blockers
Serum Ascites/Albumin gradient (SAAG) should be > _____ with Protein < ____ g to be considered Ascites secondary to Cirrhosis.
1.1
2g
Transjugular Intrahepatic Portosystemic Shunt (TIPS) is a procedure that connects the ____ vein with the _____ vein via a shunt.
Hepatic
Portal
Spontaneous Bacterial Peritonitis (SBP) is defined by PMNs > _______/mm3 in paracentesis sample.
250
Treatment for Hepatorenal syndrome in cirrhotic patients in the US is Midodrine + _______ + _______. ICU patients are treated with _______ + albumin.
Midodrine + Octreotide + ALbumin
Norepi + albumin
Triple-phase imaging and _____-_______ imaging are the imaging techniques for diagnosing HCC. Just keep in mind HCC tumors don’t always produce _____-________, and it may be produced by tumors derived from other tissues (so basically it’s not 100% diagnostic –> you need to consider the entire patient presentation).
Alpha-ferroprotein
Alpha-ferroprotein
