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34 Cards in this Set
- Front
- Back
liver
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RUQ
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pancreas
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retro peritineal
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pancreas 2 functions
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endocrine
insulin (beta cells) glucagon (alpha cells) exocrine pancreatic enzymes foe digestion trypsinogen-protein chymotrypsin- protein amylase- CHO, converts starch lipase- fat **amylase and lipase are key lab tests |
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gallbladder
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pear shaped organ that stores bile until needed for digestion
connected to the liver and duodenum by the biliary tract |
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function of liver
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carb metabolism
protein metabolism fat metabolism bile production bilirubun metabolism detoxification vitamin and mineral storage |
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protein metabolism-liver
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albumin-1 of 2 main proteins in blood
maintains oncotic pressure clotting factors-PT globulins |
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types of bilirubin
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conjugated-direct-water soluble, secreted into bile
unconjugated-indirect-not water soluble, cannot be filtered in the kidney, formed by breakdown of hemoglobin by macrophages |
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hemolytic jaundice
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rare- incresed breakdown of RBC's, increases amt of unconjugated bilirubin
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hepatocellular jaundice
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results from the livers altered ability to take up bilirubin from the blood and excrete it
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obstructive jaundice
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due to obstructed bile flow through the liver or biliary duct system
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diagnostic studies
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Pancreatic enzymes-amylase and lipase
albumin AST & ALT alkaline phosphatase |
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Hep A
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fecal oral route
contaminated food/water ANti HAV IgM acute infectionAnti HAV IgG in serum provides lifelong immunity thru vaccination and indicator of past infection |
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Hep B
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blood and body fluids
IV drug use, needle stick, semen, vaginal secretions, saliva, birthing |
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HBV complex molecule- 3 antigens
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surface antigen- HBsAg
core antigen- HBcAg e antigen I fyou get virus- you get all 3 If immunized- only surface antigen |
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HBsAg
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in the blood for 6-12 months
indicates carrier, elevated in current infection |
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Anti HBs
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immunity
previous infection or vaccine |
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HBeAg
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degree of infection
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Anti HBe
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previous infection
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Anti HBc IgM
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acute infection
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Hep C
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blood and body fluids
|
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diagnostic studies
|
Pancreatic enzymes-amylase and lipase
albumin AST & ALT alkaline phosphatase |
|
Hep A
|
fecal oral route
contaminated food/water ANti HAV IgM acute infectionAnti HAV IgG in serum provides lifelong immunity thru vaccination and indicator of past infection |
|
Hep B
|
blood and body fluids
IV drug use, needle stick, semen, vaginal secretions, saliva, birthing |
|
HBV complex molecule- 3 antigens
|
surface antigen- HBsAg
core antigen- HBcAg e antigen I fyou get virus- you get all 3 If immunized- only surface antigen |
|
HBsAg
|
in the blood for 6-12 months
indicates carrier, elevated in current infection |
|
Anti HBs
|
immunity
previous infection or vaccine |
|
HBeAg
|
degree of infection
|
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Anti HBe
|
previous infection
|
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Anti HBc IgM
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acute infection
|
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Hep C
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blood and body fluids
|
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Hep C
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blood and body fluids
IV drug use, snorting cocaine, tattoos Anti HCV can indicate acute or chronic similar signs to Hep B |
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Hep D
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occurs only with HBV to live and reproduce
can be eradicated with Hep B vaccine converts Hep B from mild to more severe type Anti HDV may show current or carrier |
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Hep E
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fecal oral route
found in India, Mexicao, Asia no serolgic test |
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Hep G
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needle sticks and transfusions
either recovery or becomes chronic hep co-infection with Hep C |