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PAtho > Unit 3 Part 2 > Flashcards

Unit 3 Part 2 Flashcards

1
Q

what is to be said about tx for liver failure

A

unlikely unless dt hepatotoxicity

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2
Q

what do we tx in liver failure

A

mnfts and complications

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3
Q

tx options for liver failure

A

purgative
non absorbable abx
liver transplant

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4
Q

what is a purgative in liver failure

A

strong laxative that cleanses bowel

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5
Q

fx of purgative in liver failure

A

removes all ammonia (proteins) from bowel so the liver doesnt have to deal with it

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6
Q

what is a non absorbable abx (LF)

A

abx not absorbed by CV. Absorbed by GI to kill bacteria that make ammonia and nitrogenous compounds

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7
Q

cholelithasis

A

gall stones

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8
Q

choleycstitis

A

inflm of liver

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9
Q

ET of cholelithasis (5)

A 
bile stasis
change in bile comp
inflm/debris
e.coli/ strep faecelisy
genetic susceptibilit
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10
Q

how does bile stasis cause gall stones

A

inc percipitation formation with stasis

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11
Q

what composition change of bile lt inc of gall stones

A

inc CHO, dec bile salts

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12
Q

how does inflm/debris lt gallstones

A

inflm/debris acts as a nuclei for stone, this debris collects percipitate forming around hub

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13
Q

how does E.coli/Strep faecelis lt gallstones

A

bact alters bile comp (idiopathic?) resulting in inc susceptibility for stones

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14
Q

3 types of gallstones

A

cholesterol stones
pigment stones
mixed stones

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15
Q

cho stones

A

large, round, yellow, smooth, glistening, occupy inc amount of bladder volume. dt bile with inc [CHO]

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16
Q

what percent of stones are cho stones

A

80%

17
Q

pigment stones

A

pigmented stones with variety of types

18
Q

what contents make up pigmented stones

A

bilirubin (pigment) and inc ca+ salts

19
Q

what percent of pigmented stones are all bile stone

A

20%

20
Q

mixed stones

A

stones of various components

21
Q

when do mnfts of cholelithasis come up

A

it is asymptomatic until stone moves

22
Q

what happens when a stone migrates in cholelithasis

A

colicky, spasmodic pain, intermittent + radiating

23
Q

what is pain in cholelithasis dt

A

contraction of duct where stone is located

24
Q

other mnfts of cholelithasis then pain

A

NV dt GI mfnts + severe pain

25
Q

dx of cholelithasis

A

hx, px, exclude other issues

26
Q

tx of cholelithasis

A

pain
antiemetic IM for NV
dissolving agent
sx

27
Q

fx of dissolving agent

A

made of bile acid to dissolve stone

28
Q

name of a common dissolving agent

A

actigall

29
Q

what sx is common in cholelithasis

A

retrograde endoscopy

30
Q

how does retrograde endoscopy work

A

pulls stone into duodenum of they can reach it

31
Q

complications of cholelithasis

A

pancreatitis, perf of cut or gall bladder -> peritonitis rt chemical irritation

PAtho (31 decks)

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