Liver and Pancreas issues Flashcards
What is NASH
Non-alcoholic steatohepatitis
- Severe form of nonalcoholic fatty liver disease
- Liver inflammation, fibrosis, and build up of fat in liver
can progress to carcinoma
What is the biggest risk factor for NASH
3
- metabolic syndrome
- obesity
- T2DM
What BMI constitutes obesity
BMI>30
What liver lab would you look at to indicate prognosis of someone who has liver disease
*TQ
platelet albumin answer
Which liver enzyme is most sensitive for alcoholism
GGT - elevated GGT = chronic alcohol use
What labs to screen for fatty liver
2
ALT and AST
Which labs for screening for cirrhosis
4
INR
PTT
Bilirubin
Platelets
prolonged INR+PTT= advanced liver disease
What lab will be elevated in jaundice
bilirubin
Elevated TG is a sign of
TQ*
pancreatitis
not sure exact wording of question
Which labs to look for liver injury
TQ*
ALT and AST +/- bilirubin, ALP
In alcoholism what is the AST:ALT ratio
> 2:1
What is serum alpha-fetprotein used for in liver patients
tumor marker- screening and monitoring heptaocellular carcinoma
What are people with chronic pancreatitis at risk for developing
DM- pancreatic insufficiency leading to impaired insulin production
What kind of supplements do people with chronic pancreaitis need
fat soluble vitamins A,D,E,K because not absorbed well- excreted in bulky, greasy stools instead
What is a pancreatic pseudocyst caused by
pancreatitis
cyst that sits outside pancreas and causes pain
