Shared Flashcard Set

Details

Internal Medicine
hepatobiliary/pancreas
25
Health Care
Graduate
03/23/2011

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Cards

Term
AST > ALT
Definition
EtOH
Term
ALT > AST
Definition
viral and toxic
Term
dBil <15% of Tbil
Definition
indirect bili = hemolysis
Term
dBil 15-50% of Tbil
Definition
intrahepatic pathology
Term
dBil >50% of Tbil
Definition
posthepatic obstruction
Term
overall best marker for severity of liver dz
Definition
PT/INR
Term
>AFP
Definition
hepatoma
Term
>CEA
Definition
colon CA
Term
#1 cause of indirect hyperbilirubinemia
Definition
GIlbert's syndrome; lack the enzyme that conjugates bilirubin
Term
#1 cause of fulminant hepatic failure
Definition
tylenol
Term
renal failure in the setting of hepatic dz;
Definition
hepato renal failure
Term
low urine Na+ normal urine Osm
Definition
hepatorenal dz
Term
tx for hepatorenal dz
Definition
terlipressin 0.5mg IV + albumin = first line tx of confirmed HRS. HyoVolemia must be ruled out; renal failure remains> giving bolus IVF. Also must r/o sepsis with Bcx and start imperic tx with abx that aren't cleared through kidey; ceftriaxone 
Term
how might heart failure cause elevated LFTs
Definition
right sided heart failure can cause congesetion in liver
Term
Budd Chiari
Definition
hepatic vein thrombosis (women on contraceptives)
Term
fever and jaundice > heavy drinking
Definition
alcoholic hepatitis
Term
tx for tylenol OD
Definition
mucomyst
Term
tx for esophageal varicies
Definition
beta blocker to ligation
Term
middle aged itching female with HLD, >DBil, >ALP/GGT, anti-mitochondrial ab
Definition
primary biliary cirhosis
Term
cullen sign
Definition
subq bruising around the umbilicus from where blood in necrotizng pancreatitis travels down the falciform ligament to the umbilicus
Term
elevated amylase/lipase one week after resolution of pancreatitis =
Definition
pancreatic pseudocyst
Term
pancreatic calcifications, malabsorption and insulin dependent DM
Definition
chronic pancreatitis - EtOH
Term
what is likely source of recurrent salmonella sepsis?
Definition
galbladder
Term
major bug in cholangitis
Definition
klebsiella
Term
Describe the pathophysiology of hepatorenal syndrome
Definition
kidneys are functional but are failing under current conditions of cirrhosis; likely 2/2 vasc changes supplying the kidneys resulting in < blood flow to kidneys. Tx = pressors and albumin
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