Liver and Gallbladder Flashcards
reversible liver injury
steatosis and cholestasis
irreversible liver injury
necrosis and apoptosis
vitamin A storage cells in the liver
hepatic stellate cells
markers of hepatocyte integrity
AST, ALT, LDH
markers of hepatocyte synthetic function
albumin, PT, aPTT, ammonia
[diagnosis]
jaundice, cholestasis, hepatic encephalopathy, asterixis, occurring within 26 weeks post initial insult
acute liver injury
most common drug that cause acute liver failure
acetaminophen
Acute liver failure causes
ABCDEF
A hepatitis, acetaminophen B hepatitis C hepatitis, cryptogenic D hepatitis, drugs/toxins E hepatitis F atty liver
hepatitis virus that can cause chronic hep infection
HBV, HCV
[diagnosis]
jaundice with pruritus,
palmar erythema, spider angiomas, hypogonadism, gynecomastia, HPO axis abnormalities, portal HPN
chronic lover disease
[veins involved]
Portocaval anastomoses causing esophageal varices
esophageal branch of the left gastric vein and azygous vein
[veins involved]
Portocaval anastomoses causing hemorrhoids
superior, middle, and inferior rectal veins
[veins involved]
Portocaval anastomoses causing caput medusae
periumbilical veins and abdominal wall collaterals
hallmark of chronic viral hepatitis
portal inflammation
[diagnosis: hepatitis]
ground glass appearance of hepatocytes.
hepatitis b
[diagnosis: hepatitis]
lymphoid follicles, bile duct injury and steatosis (fatty change)
hepatitis c
[diagnosis: acute vs chronic]
ballooning degerenration, apoptosis, macrophages aggregates, scan mononuclear infiltrate
acute hepatitis
[diagnosis: acute vs chronic]
dense mononuclear necrosis, ground glass cells (Hep B) or fatty change (hep C), interface hepatitis, ductular reaction, bridging fibrosis
chronic hepatits
this refers to stem cell activation of hepatocyte during regeneration
ductular reaction
[diagnosis: autoimmune hepatitis]
female, middle aged, ANA, AntiSMA, anti-SLA/LP, AMA
more favorable prognosis
Type 1 Autoimmune Hepatitis
[diagnosis: autoimmune hepatitis
female, children to teenagers, anti LKM, CYP2D6 antibodies, anti ACL1
less favorable prognosis
Type 2 autoimmune hepatitis
anesthetic drug that causes dose-dependent hepatitis
halothane
this drug causes cholestasis leading to hepatitis
chlorpromazine
___ amount of alcohol that is associated with development of ALD
80g/day
[form of alcoholic liver disease]
lipid droplets in hepatocytes, fatty changes, perivenular fibrosis
hepatocellular steatosis
[form of alcoholic liver disease]
hepatocyte swelling, mallory denk bodies, neutrophilic infiltration
alcoholic steatosis