Week 10- Obstructive Jaundice Flashcards

1
Q

Can you survive without a liver?

A

No

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2
Q

Can you survive without a pancreas?

A

Yes

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3
Q

How much of a healthy and damaged liver do you need?

A

Healthy: 25%
Damaged: 40%

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4
Q

What is fibre?

A

Substances you cant digest and that draw water in

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5
Q

What are the 2 main symptoms you would have if you didn’t have a pancreas

A

Digestive problems- lack of enzymes, fatty stool etc

Diabetes- high blood sugar

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6
Q

Where does absorbed food go to from the gut and via what vein?

A

To the liver via the hepatic portal vein

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7
Q

What is the hyloconfluence?

A

Where the left and right hepatic ducts join

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8
Q

What is Mirizzi’s syndrome/

A

When there a big gallstone that cant leave the gallbladder but pushes the gallbladder down to sit on the bile duct and block it

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9
Q

What is cholangitis?

A

Infection of the bile duct

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10
Q

Where is bilirubin conjugated?

A

In the liver

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11
Q

What does liver conjugation of bilirubin do?

A

Makes it water soluble

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12
Q

What does high conjugated bilirubin indicate?

A

Bilirubin has got to the liver but cant get into the gut due to obstruction

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13
Q

Why do high liver enzyme levels indicate liver failure?

A

Liver cells lysise and leak enzymes into the blood increasing levels

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14
Q

What are symptoms of jaundice?

A

Itchiness

Yellow skin, scelra

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15
Q

What level of bilirubin is needed for the patient to go yellow?

A

60/70`

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16
Q

What goes yellow first in jaundice?

A

Sclera

17
Q

What could be happening if skin is yellow but sclera isn’t and bilirubin is normal?

A

Excess vit C (ask about diet)

18
Q

What is the function of bilirubin?

A

To break down fat into smaller pieces

19
Q

What is the difference between a sign and symptom?

A

Sign: something you can see
Symptom: something the patient feels

20
Q

What shows up on a PET scan?

A

Inflammation or cancer

21
Q

What is it called when something shows up on a PET scan?

A

Hot