Liver Flashcards
What are the anti-ox that can be used for liver protection?
n-acetylcysteine and silymarin
Common causes in dog vs cat of extrahepatic BD obstruction
breeds associated with chronic hepatitis
doby and spaniels
Breeds and related genetic defects for copper associated chronic hepatitis
What is the biochem makeup of chronic hepatitis
How can chronic hepatitis differ from reactive hepatopathy?
RH- no necresis, inflammation
normal copper tissue level?
stain for copper?
distribution?
<400 ug/g
rhodanine stain
centrilobular
Tx for chronic hepatitis
Chelators for copper chronic hep?
D-penicillamine
trientine
C.S. cirrhosis
How does the body deal with hypertension from cirrhosis?
secondary shunts
activate RAAS system (absorb more Na/H2O from kidneys)
Tx for cirrhosis
spironolactone
anti-fibrotics
(not furosemide- hypoK & metabolic alkalosis-worsen hepatic encephalopathy)
Anti-fibrotic
pred or colchicine
Tx for hepatic encephalopathy
lactulose (increase motility GI and change pH to make absorption ammonia harder)
abx- neomycin & amoxi
restirct protein diet
pre-disposed breeds for congenital PSS