LIVER & METABOLISM Flashcards

1
Q

what is the function of the liver?

A
filter blood
regulate blood glucose levels 
metabolise medications
detoxification
bile drainage
synthesis + storage of amino acids, proteins, vitamins and fats
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2
Q

what is hepatitis?

A

inflammation of the liver

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3
Q

what is hep a?

A

infection of the liver, caused by ingestion of food or water that is infected, very contagious.
syx: nausea, poor appetite, abdo pain, jaundics, dark urine, fatigue

can be immunised against, usually resolves itself, usually asymptomatic in children

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4
Q

what is albumins function?

A

helps maintain colloid oncotic pressure- helps fluid stay within the vascular system instead of leaking into the tissues

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5
Q

what is..

a. jaundice
b. gastrin
c. ghrelin
d. leptin

A

a. yellowing of the skin/eyes- decreased removal of bilirubin
b. stimulates secretion of gastric acid when u eat
c. ghrelin stimulates appetite, makes u hungry
d. help regulate energy balance by inhibiting hunger

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6
Q

what is cirrhosis?

A

late stage scarring of the liver caused by many forms of liver diseases + conditions. each time the liver is damaged it tried to repair itself = scarring. loss of hepatocytes and irreversible scarring of the liver.

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7
Q

s+s as cirrhosis progresses?

A
fatigue
loss of appetite
nausea
oedema
weigh loss
jaundice
itchy skin
fluid accumulation in abdomen
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8
Q

what tests are taken to assess liver function?

A
ALT-alanine aminotransferase
AST-aspartate aminotransferase
GGT-gamma glutamyl transferase
albumin
bilirubin
total protein
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9
Q

what are the endocrine and exocrine functions of the pancreas?

A

ENDOCRINE: excrete insulin and glucagon to control blood glucose levels

EXOCRINE: excretes enzymes (lipase, trypsin, amylase) to break down proteins, fats and carbohydrates.

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10
Q

what is acute pancreatitis?

A

inflammation of the pancreas
commonly caused by heavy alcohol consumption, gall stones. causing blockage and backflow..

syx: pain in abdomen, extends to back. pain intensifies after eating, swollen/tender abdomen, looks very sick, N+V, fever, rapid pulse
investigations: US scan, CT scan, physical exam, med hx, blood test (amylase/lipase)
treatment: hospitalisation (3-5 days)- monitoring, pain control, IV fluids

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11
Q

what is hep b?

A

inflammation of the liver, acute, can become chronic and life-threatening
syx: fever, malaise, jaundice, abdo tenderness, elevated liver enzymes
transmitted through sexual contact, shared needles, mother to baby
tx: interferon (drug), HBV vaccine and immunoglobin

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12
Q

What is the function of the gallbladder?

A

to store bile, and release it when stimulated.

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13
Q

how do gallstones form?

A

when bile forms solid particles (stones) in the gall bladder. the stones form when the amount of cholesterol or bilirubin in the bile is high

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14
Q

what is…
a. bile
b. trypsin
c.

A

a. bile is a digestive enzyme, made in the liver, break up fats
b. digestive enzyme, made in pancreas, breaks down protein into amino acids for absorption

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15
Q

what is Cholecystitis?

cholelithiasis?

A

inflammation of the gall bladder

cholelithiasis= gall stones

syx: severe/sudden pain, fever, shivering, severe N&V, cramping
treatment: surgery, medications

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16
Q

2 digestive enzymes in the blood used to diagnose acute pancreatitis?

A

amylase and lipase

17
Q

what is a paracentesis?

A

procedure in which a needle or catheter is inserted into the peritoneal cavity to obtain ascitic fluid
used for diagnostic purposes and therapeutic purposes

18
Q

identify the hormone that is produced by the G cells in the stomach

A

gastrin