Liver toxicity Flashcards

1
Q

what are the liver functions?

A

metabolism of toxins,nutrients and drugs
Producing bile
Bilirubin clearance
Producing some plasma proteins,fat carrying proteins

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2
Q

what does the hepatic artery supply the liver with?

A

oxygen rich blood

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3
Q

what does the hepatic portal vein supply the liver with?

A

nutrient rich blood

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4
Q

what does the terms inactivity,pharmacological activity and toxicity mean?

A

Inactivity-chemically altered to be more water soluble
Pharmacological activity-converted into an active substance.
Toxicity-converted to an active substance that can/cannot be detoxified

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5
Q

Give examples of liver injury

A
Necrosis
Steatosis
Cholestasis
Hepatitis 
Cirrhosis
Cancer
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6
Q

What is necrosis and what causes it?

A

necrosis is cell death

Cause:lipid peroxidation,disturbance of Ca+2 homeostasis and DNA and protein abduct

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7
Q

what is steatosis?

A

Accumulation of lipids in the liver

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8
Q

what is cholestasis?

A

Accumulation of bile in the liver-there is an obstruction

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9
Q

what is cirrohsis?

A

This the scarring of the liver-so the hepatocytes become scar tissue and then become dead end because the scar tissue doesnt do anything.

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10
Q

How many types of liver cancer are there?

A

Hepatocellular carcinoma
Cholangiocarcinoma
Liver angiosarcoma

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11
Q

What are some signs and symptoms of liver injury/disease?

A

Yellowing of skin,yellowing of eyes,fatigue,dark urine ,loss of appetite

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12
Q

What methods of liver diagnosis?

A

Liver biopsy

Ultraound

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13
Q

How does carbon tertracholride cause toxicity to the liver?

A

It can cause toxicity and cause necrosis,it can easily inhaled and it compromises the integrity of cell membrane.

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14
Q

What are possible causes of hepatitis?

A

Paracetamol
Alcohol
carbon tertracholride
PCBs

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15
Q

How does paracetamol cause its toxicity?

A

The accumulation of paracetamol metabolites NAPQI and this decrease the gluthoine -this leads to more ROS and RNS-causes oxidative stress and also damages the cells.

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