Pathology - Liver Flashcards

1
Q

name some possible causes of acute liver failure

A

viruses
drugs
alcohol
bile duct obstruction

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2
Q

name three possible outcomes of acute liver failure

A

complete recovery
chronic disease
liver failure

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3
Q

what is jaundice?

A

yellowing of the skin and sclera due to excess bilirubin

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4
Q

what are the three types of jaundice classified by site?

A

pre hepatic
hepatic
post hepatic

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5
Q

what are the two types of jaundice?

A

conjugated

unconjugated

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6
Q

what defines cirrhosis?

A

bands of fibrosis separating regenerative nodules of hepatocytes

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7
Q

name some possible causes of cirrhosis

A
alcohol 
chronic hepatitis 
iron overload 
autoimmune liver disease
gallstones
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8
Q

name three possible complications of cirrhosis

A

portal hypertension
ascites
liver failure

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9
Q

what are caput medusae?

A

distended superficial epigastric veins

seen in portal hypertension

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10
Q

name three other causes of portal hypertension, besides cirrhosis

A

budd chiari
portal vein thrombosis
portal fibrosis

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11
Q

what causes oedema in cirrhosis?

A

reduced albumin synthesis = hypoalbuminaemia

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12
Q

what causes ascites in cirrhosis?

A

hypoalbuminaemia
secondary hyperaldosteronism
portal hypertension

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13
Q

what causes haematemesis in cirrhosis?

A

ruptured oesophageal varices due to portal hypertension

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14
Q

what effects can hyperoestrogenism due to cirrhosis have?

A

spider naevi

gynaecomastia

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15
Q

what can cause purpura and bleeding in cirrhosis?

A

reduced synthesis of clotting factors

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16
Q

what can cause coma in cirrhosis?

A

failure to eliminate toxic gut bacterial metabolites

17
Q

what increases risk of infection in cirrhosis?

A

reduced kupffer cell number and function

18
Q

what is steatosis?

A

abnormal retention of fat in a tissue/organ

reversible