Liver Clinical Correlate -Dr. Rieger

Question 1

three classic phases of viral hep

Answer 1

1. prodromal: anorexia nausea vomiting, myalgia, malaise
2. icteric: symptoms increase, hepatomegaly and splenomegaly
3. postincteric phase: symptoms disappear but hepatomegaly persists

Question 2

____ have signivicant potenial for liver failure

Answer 2

Hep B and C

Question 3

advanced liver disease complications

Answer 3

interferes with immune system, coagulation and drug metabolism

Question 4

advanced liver disease dental patients extra things to do=

Answer 4

consider prophylactic antibiotics
coagulation testing
drug modifications

Question 5

Heo____ have chronic states

Answer 5

Hep B and C

Question 6

acetamiophin and the liver

Answer 6

acetaminophen is a significant cause of acute liver failure

Question 7

treat acetaminophen overdose with

Answer 7

acetlycysteine in the first 8 hours

Question 8

liver transplant patients will be ____ after surgery

Answer 8

immunocompromised

∴ aggressively eliminate dental infection

Question 9

patients with hepatitis is a contradiction for ____ dental care

Answer 9

elective dental care

-only do emergency care

Question 10

____ tests can give you info on liver performance

Answer 10

INR and a-PTT

because liver produces clotting factors

Question 11

concern with metabolism and liver patients comes into play when__

Answer 11

you are prescribing long term meds.

one term doses are fine as long as you don’t exceed the toxic dose.