Liver disease 1 Flashcards

1
Q

is jaundice present in liver disease. true or false.

A

true

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2
Q

what are the specific s+s of liver disease

A

jaundice, pale/dark stool/gynaemastia,ascities, hepatic encephalopathy, hepatomelagy, palma erythema

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3
Q

who does the specific sign and symptoms relate to in liver disease?

A

long term liver disease

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4
Q

what are the non specific sign and symptoms of liver disease

A

malnutrition, peripheral oedema, bleeding, fatigue/malaise, abdominal pain, muscle cramps, finger clubbing, splenomegaly

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5
Q

7 causes of liver disease

A

fatty liver, alcohol, viral hep A,B,C,D,E, bilary track disorder, auto immune disease, drug induced-i.e. methatrexate/sodium valporate/amiodarone

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6
Q

what is nonalcoholic liver disease

A

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.

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7
Q

who is at risk of nonalcoholic liver disease?

A

obese pt, 40-60yrs, DMType2

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8
Q

s+s of nonalcoholic liver disease?

A

malaise, fatigue, abdo pain

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9
Q

diagnosis of nonalcoholic liver disease?

A

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

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10
Q

Tx of nonalcoholic liver disease?

A

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

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11
Q

what is alcoholic liver disease?

A

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

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12
Q

what is the cause of alcohol liver disease?

A

free radicals are generated causing damage to the liver. liver cells are replaced by non functioning fatty cells thus progress onto cirhosis

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13
Q

Management of alcohol liver disease?

A

stop drinking alcohol, support referral for alcohol widrawal symptoms, reduce regieme of benzodiazepines, do assessment for werike encephalopathy,

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14
Q

what is viral hepatitis?

A

inflammation of the liver caused by a specific or a diverse group of viruses

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15
Q

viral hepatitis sign ans symptoms?

A

malaise, jaundice, anorexia, abdominal pain,

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16
Q

tests done for viral hepatitis?

A

lfts/viral serology