Ramahi Liver, Lower GI Flashcards
If AST = 2x ALT?
Alcoholic Hepatitis.
If AST > ALT (in the 1000s)?
Viral Hepatitis.
AST and ALT high after surgery/bleeding/sepsis?
Shock liver.
Transjugular intrahepatic portosystemic shunt (TIPS) relieves portal HTN but worsens…? How should you treat this complication?
Hepatic encephalopathy. Lactulose (get’s rid of ammonia).
Hepatocellular Carcinoma risk factors (3)
Hep B >Hep C. Cirrhosis.
Most common bugs in liver abscess (3)?
E coli, bacteriodes, enterococcus.
A patient presents with RUQ pain, very diaphoretic, with rigors and a palpable liver? Treatment?
Entamoeba histolytica. Metronidazole.
A patient having just returned from Mexico presents with RUQ pain large liver cysts? Lab findings? Treatment?
Enchinococcus.
Eosinophilia, + Casoni Skin test.
Albendazole and removal of ENTIRE cyst.
Young woman with heavy menses, purpura, isolated thrombocytopenia? Treatment?
Steroids, splenectomy if they don’t work (followed by immunizations).
A patient presents with jaundice, high Indirect Bilirubin, reticulocyte count, and LDH, low haptoglobin, and spherocytes? Treatment?
Hereditary Spherocytosis.
Splenectomy (followed by immunizations).
IBD that involved terminal ileum?
Chrohn’s.
IBD that is rectal sparing?
Crohn’s.
IBD that is associated with Primary Sclerosing Cholangitis.
UC.
IBD that is associated with fistula. Treatment?
Chrohn’s. Metronidazole.
IBD that is associated with transmural inflammation?
Chrohn’s.
