TBL 2 Flashcards
Hemochromatosis
Cardiac Endo GU Msk Derm
Findings
Cardiac enlargement, HF DM, thyroid dest Impotence Arthropathy, OA Hyperpigmentation
Gastrin
CCK
Secretin
Somatostatin
Motilin
Triggers and effects
Vagus, stomach distension/peptides
Stimulates GA sec, emtying
FA, AA
Panc secretion, gallbladder contr
Acids, FA
HCO3 release, dec gastric empt
Vagus, Acid
Inhibit GA secretion, gallbladder contr
Fasting
Inhibit panc sec
migrating motor complexes
DIC indicated with
Respirtory failure indicated with
Mild acute panc
Severe panc
when to feed
inc INR
PaO2/FiO2 <400
Oral diet w/in 48 hours
Enteral nutrition within 48 hrs
Enlarged liver with multiple nodules
Single infiltrative mass in a small shrunken liver
Dz, presentation
Mets, asx, may have symptomatic primary cancer
HCC, cirrhosis, elevated AFP
CA19-9
CEA
elevated in
Cholangiocarcinoma/Panc ca
Colorectal/panc/lung/breast/thyroid/ovarian ca
Dec bilirunin uptake in hepatic sinusoids
Dec hepatcyte bilirubin excretion
Immune mediated RBC destruction
Inc enterohepatic circ
Short RBC lifespan via hemoglobinopathy
Rotor
DJS
ABO incom- Mom is O, child is A
Newborn- low oral intake, lack of bacteria
Beta thalassemia, sickle cell
Def of RBC ankyrin
Dec inhibitor of elastase
Extrahepatic biliary tract inflamm
Intrahepatic portal inflamm with bile duct destruction
Hereditary sphero- unconj
A1At- vairable
Biliary atresia- conj
Gilbert- unconj
Def of RBC ankyrin
Dec inhibitor of elastase
Extrahepatic biliary tract inflamm
Intrahepatic portal inflamm with bile duct destruction
Hereditary sphero- unconj
A1At- vairable
Biliary atresia- conj
Gilbert- unconj
Oral cavity
Stomach
Pancreas
Carb, fat protein digestive components
Salivary amylase lingual lipase (both minimal) No P
No carb
Gastric lipase (SCT to diglycerides)
Pepsin/HCl- protein to PP
Amylase (maj)
Lipase (TG to FFA)
Trypsin, peptidase (maj)- to AA, di/tripeptides
GB
Duodenum
Carb, fat, protein digestive components
No Carb
Bile acid storage/release
No prot
lactase, sucrase, maltase- absorb monosacc
Emulsify FA to form micelles
enteropeptidase- absorb AA, Di/tripeptides
Jejunem
Ileum
Carb, fat, protein
Absorb monosacc
Absorb FA
Absorb AA, di/tripeptides
Absorb monosacc
Absorb bile acids
no protein
