onlinemeded pearls

Question 1

clothing factors vit K deppendant

Answer 1

2,7,9,10

represente dby elev of INR

Question 2

Hepatic encephalopathy patho

Answer 2

NH4 ammnium that cant be cleared by liver

Question 3

Hepatic encephalopathy dx

Answer 3

clinical

Question 4

Hepatic encephalopathy tx

Answer 4

lactulose
rifaximin
zinc

Question 5

after cirrhosis too much estrogen produces

Answer 5

gynecomastia
palmar erythema and
spider angiomata

Question 6

portal hypertansion consecuencesq

Answer 6

thrombocytopenia cux of splenic sequestration
ascites
varices

Question 7

bleeding asophag varices tx

Answer 7

further than the aforementioned banding, stop the betablocker n give ceftiriaxone and ocrotide

if nothing works do TIPS: shunt the porta to the hepatic vein.

Question 8

Portao hypertension related ascits patho

Answer 8

SAAG>=1.1
causes:
chirrosis
RHF

Question 9

NON Portao hypertension related ascits

Answer 9

SAAG<1.1

Causes : TB, CA

Question 10

ascitis tx

Answer 10

fluid rstrictions <2lh2o <2gNacl
furosemida
spironolactone
+- therapeutic paracentesis

Question 11

SBP dx

Answer 11

> 250 polym at the paracentesis

Question 12

hepatocelular carcinoma path

Answer 12

cirrhosis or hep b + cirr

Question 13

hepatocelular carcinoma cx fx

Answer 13

asymptomatic

Question 14

hepatocelular carcinoma dx

Answer 14

screen : Rupper cuadrant US + AFP

confimrmatory triple phase CT

Question 15

hepatocelular carcinoma tx

Answer 15

smal:resected
not too big:tansplant
big : chemo/chemo embolization