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GI Emergencies > RUQ Pain > Flashcards

RUQ Pain Flashcards

1
Q

When protein is digested…

A

waste product is ammonia

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2
Q

1st function of the liver

A

Degradation of protein into ammonia and urea

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3
Q

Ammonia is…

A

carried to the liver , liver turns ammonia into urea , urea is dumped by kidneys as BUN

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4
Q

If you have liver failure can you process ammonia?

A

No you cannot process the ammonia into urea

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5
Q

What are the urea and ammonia levels in liver failure

A

Ammonia will rise

Urea will drop (low BUN)

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6
Q

Ammonia crosses blood brain barrier…

A

Encaphalopathy

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7
Q

What bedside test can you run with LF?

A

Liver Flap (the hand wont stay up)

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8
Q

Tx for high ammonia

A

Lactulose - absorb in intestine - disregard

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9
Q

2nd function of the liver

A

The liver takes protein and processes it into albumin

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10
Q

Albumin carries

A

thyroid hormones
fatty acids
protein for steroids

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11
Q

Low Albumin fluid?

A

LEAKS

Edema

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12
Q

Low albumin?

A

Fluid leaks - edemitous

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13
Q

Hepatic hypertension causes?

A

Fluid to leak around the liver

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14
Q

Albumin has a half life of?

A

3 weeks

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15
Q

So if albumin has such a short half life and the pt develops edema etc?

A

They’ve been at it for awhile

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16
Q

Tx for acitis?

A

Paracentesis

IV albumin

17
Q

3rd thing liver does..

A

Has clotting factors

18
Q

Tx for clotting factor problems with liver disease

A

vitamin k

19
Q

What does the liver do to dead RBCs?

A

Taken to the liver and it converts the dead RBCs and breaks them down - waste product is bilirubin

20
Q

How does bilirubin leave?

A

Leaves the liver after it is produced run down and mix with stool

21
Q

What causes bilirubin stool to be brown?

A

When the bilirubin waste mixes with the stool the bacteria of the intestine turns it brown

22
Q

What color is the stool without bilirubin (liver failure)

A

Clay or Grey

23
Q

Where does bilirubin first show up in liver failure?

A

The urine (cola color) - If you shake urine sample it would get foamy/frothy at the top

24
Q

After bili shows up in urine where else will it show?

A

Elastic Tissue - Sclera

25
Q

Last place for bili to show up

A

Jaundice of the skin

26
Q

2nd function of liver

A

Takes protein and processes it into albumin

27
Q

Albumin functions..

A

Acid base balances

Carries calcium, hormones, enzymes around the body

Keeps fluid in your bloodstream (Keeps fluid in the vasculature)

28
Q

Low Albumin fluid?

A

LEAKS

Edemous

GI Emergencies (9 decks)

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