Liver disease 1 Flashcards
is jaundice present in liver disease. true or false.
true
what are the specific s+s of liver disease
jaundice, pale/dark stool/gynaemastia,ascities, hepatic encephalopathy, hepatomelagy, palma erythema
who does the specific sign and symptoms relate to in liver disease?
long term liver disease
what are the non specific sign and symptoms of liver disease
malnutrition, peripheral oedema, bleeding, fatigue/malaise, abdominal pain, muscle cramps, finger clubbing, splenomegaly
7 causes of liver disease
fatty liver, alcohol, viral hep A,B,C,D,E, bilary track disorder, auto immune disease, drug induced-i.e. methatrexate/sodium valporate/amiodarone
what is nonalcoholic liver disease
Non-alcoholic fatty liver disease (NAFLD) is the term for a range of conditions caused by a build-up of fat in the liver. It’s usually seen in people who are overweight or obese. A healthy liver should contain little or no fat.
who is at risk of nonalcoholic liver disease?
obese pt, 40-60yrs, DMType2
s+s of nonalcoholic liver disease?
malaise, fatigue, abdo pain
diagnosis of nonalcoholic liver disease?
elevated AST/ALT, liver ultrasound-flow of blood into large vein, fibroscan-to check if liver is fibourous, presence of risk factors i.e. DM, obese
Tx of nonalcoholic liver disease?
eliminate cause/risk factors, exercise to reduce weightt, stop offending drugs, optimise treatment if diabetic or dyslipidemia, if liver is fiborous-poiglitazone or vitamin e
what is alcoholic liver disease?
Drinking a large amount of alcohol, even for just a few days, can lead to a build-up of fats in the liver. This is called alcoholic fatty liver disease
what is the cause of alcohol liver disease?
free radicals are generated causing damage to the liver. liver cells are replaced by non functioning fatty cells thus progress onto cirhosis
Management of alcohol liver disease?
stop drinking alcohol, support referral for alcohol widrawal symptoms, reduce regieme of benzodiazepines, do assessment for werike encephalopathy,
what is viral hepatitis?
inflammation of the liver caused by a specific or a diverse group of viruses
viral hepatitis sign ans symptoms?
malaise, jaundice, anorexia, abdominal pain,