liver, pancreas, gall bladder

Question 1

hepatic disease

Answer 1

RUQ pain, referred pain in right shoulder or back, dark urine, yellow stool (build up of bilirubin), yellowing skin, spiger angiomas

Question 2

liver cirrhosis

Answer 2

chronic progressive inflammation of liver- loss of normal liver function (fibrosis)
most common cause: alcohol abuse

Question 3

portal hypertension

Answer 3

portal vein- blood frm stomach, SI, spleen, pancrease to liver
causes: blood clots, cirrhosis, infection
vericose veins in abdomen

Question 4

hepatic encephalopathy

Answer 4

complex neuropsychiatric syndrome;
difficulty with executive function;
increased levels of ammonia

Question 5

pt implications for portal hypertension and hepatic encephalopathy

Answer 5

fall prevention, immobile and malnourished (susceptible to skin breakdown), rest between activities

Question 6

ascites

Answer 6

abnormal accumulation of fluid with the peritoneal cavity- most due to decompensated liver cirrhosis

Question 7

alcohol related liver disease

Answer 7

most common sign: hepatomegaly
prognosis: cirrhosis + abstain drinking 80% 5 year survival rate

Question 8

cholelithiasis (gallstone disease)

Answer 8

most common GI disease in US; bile stones- block cystic duct

Question 9

cholecystitis

Answer 9

inflammation of gall bladder