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Chapter 11-Liver/GB 6
Chapter 11-Liver/GB 6
23
Medical
Graduate
10/13/2012

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Cards

Term
Anti anginals which relax vascular smooth muscle with resultant decrease in venous return and decrease in arterial blood pressure, which reduces left ventricular work load and decreases myocardial oxygen consumption, reviving pain of angina.
Definition

Amylnitrite

nitroglycerine

Term
Acute angina, preopreative HTN, heart failure associated with acute MI; diffuse esophageal spasm without reflux. 
Definition

NItrates

 

aml nitrite

nitroglycerine

Term
angina pectoris due to coronary artery spasm, chronic stable angina, HTN, arrhythimas, interstitial cystitis, migranes, Raynaud's. 
Definition

Amlodipine, 

Verapamil

 

Calcium Channel Blockers

Term

Anginal and anithypertensive. 

 

 

Definition

Amlodapine

Verapamil

 

Calcium Channel Blockers

Term

They inhibit the movement of calcium ions across the membranes of cardiac and arterial muscle cells; this inhibition of transmembrane calcium flow results in the depression of impulse formation in specialized cardiac pacemaker cells, 

slowing the velocity of conduction of cardiac impulses, depression of myocardial contractability, and dilation of coronary arteries and arterioles and peripheral arterioles; these effets lead to decreased cardiac energy consumption, and increased delivery of exgen to myocardial cells. 

Definition

Calcium channel blockers

Amlodapine

Verapamil

Term
HSV 1 and 2 in immunocompromised patients, encephalitis, herpes zoster, HIV, Cytomegalovirus retinitis in AIDs patients, genital herpes, influenza A/B.
Definition

Abacavir

Acyclovir

 

Anti Virals

Term
Inhibit Viral DNA or RNA replication in the virus, preventing replication and leading to viral death. 
Definition

Abacavir

Acyclovir

 

Anti Virals

Term
No treatment changes the course of this disorder. Symptoms and organ disfunction are treated.
Definition
Scleroderma.
Term

This is often difficult to treat. Calcium channel blockers such as nifedipine may relive the symptoms by the relaxing the muscles of the esophagus. Sometimes, injecting nitroglycerine, long acting nitrates, adn drugs with anticholenergic effects (dicyclomine) are less successful. 

Sometimes people need strong analgesics. In many cases, a narrowing is treated by inflating a balloon inside the esophagus or by inserting bougies to dialate the esophagus. In rare cases, a surgeon may cut the muscle layer along the full length of the esophagus. (surgical myotomy.

Definition
Esophageal Spasm
Term
No treatment restores peristalsis. The aim of treatment is to relieve symptoms by decreasing pressure in the lower esophageal sphincter. Nitrates or calcium channel blockers are of limited effectivness but may delay the need for dilation by helping relax the sphincter. 
Definition
Achalasia
Term
Treatment involves allowing the pancres to rest and taking drugs to relieve the pain. 
Definition
Chronic Pancreatitis
Term
Whether mild or severe, a person with this condition ususally requires hospitalization.
Definition
Acute pancreatitis
Term
Chemotherapy, drugs, and radiation therapy may help relieve symptoms but do not cure the illness.
Definition
Metastatic Liver Cancer
Term
Drugs can relieve blood pressure in the portal vein, but if internal bleeding occurs, go to the ER. 
Definition
portal hypertension.
Term
Often this disappears as its cause resolves, but surgery or endoscopy is sometimes often needed. 
Definition
Jaundice
Term
Treatment depends on the cause, but drugs can help relieve itching. 
Definition
Cholestasis.
Term
usually ,bed rest, a low salt diet, adn diuretics help eliminate excess fluid. 
Definition
Ascites
Term
Drugs, such as antiviral drugs or corticosteroids, may be used, and for advanced disease, liver transplantation may be needed. 
Definition
Chronic hepatitis
Term

Vacccines can prevent hep A, B and E.

 

Usually, specific treatment is not needed.

Definition
Acute Viral Hepatitis.
Term
the gallbladder is removed if recurrent pain or other problems continue due to stones. 
Definition
Gallstones
Term
The gallbladder is removed, often with a laproscope.
Definition
Cholecystitis. 
Term
Treatment focuses on relieving symptoms, but liver transplantation can prolong life. 
Definition
Primary Sclerosing Cholangitis. 
Term
Stopping all alcohol intake is critical. 
Definition
Cirrhosis.
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