Screening For Hepatic and Biliary Disease Flashcards
What is most common sx reported to PT for liver issues?
right shoulder pain, that can’t be reproduced
also scapula or mid thoracic
What are other common symptoms reported?
GI sx that increase shoulder pain like after eating fatty foods
Why would a patient with Bilateral CTS have liver issues?
bc liver is big player in metabolism/clearing house it will lead to fluid overload if not working correctly
Who should be screened for liver issues?
previous liver or gallbladder dz (hepatitis)
recent statin use, recent surgery, recent tattoo/injection, skin changes, ETOH consumption
What are sx of liver disease?
belly fullness, N/V/A, skin and nail changes
What are examples of skin and nail changes?
jaundice, bruising, spider anginoma, palmar erythema, Terry’s nails
What are sx of liver dz you can ask about?
dark urine and light colored stool, ascites, RUQ pain, rhabdo
What are neuro sx of liver dz?
confusion, sleep issues, muscle tremors, hyper reflexes, asterixis
What is asterixis?
motor disturbance with the inability to maintain wrist extension while shoulders are flexed due to ammonia buildup
usually seen in progressive liver failure
What type of disease is Hepatitis?
viral so antibiotics won’t work
What versions of Hep are most minor?
A- food poisoning
E- recent travel
What are the other types of Hep?
B- infected blood, sexual contact, IV drug users
C- blood transfusions, organ transplants
D- has to have B first, worse version of it
G- IV drug users, dialysis (sx are less)
What two types of Hep will have long term liver issues?
B and C
What are 3 stages of Hep?
- preicteric
- Icteric
- Recovery
What are characteristics of preteric stage?
1-3 weeks, flu like Sx, start of liver enlargement