Shades of Yellow Flashcards

1
Q

Where does bilirubin come from

A

The breakdown of hemoglobin

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2
Q

Where does bilirubin live

A

The bile usually

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3
Q

What is conjugated bilirubin

A

Bilirubin + glucuronic acid

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4
Q

Gross appearance when there us excess bilirubin

A

yellow. mostly skin and mucous membranes

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5
Q

Pre-hepatic icterus is caused by…

A

Excessive bilirubin production due to increased hemolysis

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6
Q

Hepatic icterus is caused by…

A

Impaired uptake by hepatocytes or impaired conjugation

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7
Q

Post-hepatic icterus is caused by…

A

Impaired excretion - biliary obstriction (cholestasis)

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8
Q

What are carotenoids

A

exogenous pigments that are part of the diet

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9
Q

Carotenoids - gross appearance

A

Fat will appear yellow/orange
Not clinically significant

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10
Q

Abnormal accumulation of lipids is called…

A

lipidosis

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11
Q

lipidosis - gross

A

Organs are pale, yellow, and enlarged
Tissue feels greasy and may float
Hepatocytes enlarged w/ clear vacuoles

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12
Q

How do lipids accumulate in the liver

A

Excess delivery (absorption, carbs, mobilization)
Mitochondrial dysfunction (decreased oxidation)
Decreased transport
Decreased secretion of lipoproteins

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