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10 Cards in this Set
- Front
- Back
Risk Factors for Developing DILD
|
Age
Alcohol Dose Gender Genetics Pre-existing Liver Disease |
|
Drugs Affected by Age
|
Halothane
INH- Isoniazid Nitrofurantoin Salicylates VPA-Valproic Acid |
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Drugs Affected by Alcohol
|
APAP
INH MTX |
|
Drugs Affected by Dose
|
APAP
ASA |
|
Drugs Affected by Gender
|
Azathioprine
Flucoloxacillin Halothane Methyldopa |
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Drugs Affected by Genetics
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Phenytoin
INH Sulfonamides |
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Drugs Affected by Pre-existing Liver Disease
|
Niacin
MTX |
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Classification of Drug Induced Injury
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Intrinsic Hepatotoxicity
-Direct Toxins -Indirect Toxins Idiosyncratic Hepatotoxicity -Cytotoxic, Cholestatic -Damage to Hepatocytes throughout Hepatic lobule -Hypersensitivity reaction -Toxic Metabolite |
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Acute Vs Chronic DILD
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Acute: Clinical/histological evidence <3 months
Chronic: Clinical/histological evidence >3 months |
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Assessment
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Enzyme Elevation
Necrotic - AST, ALT, LDH Cholestatic - Alk Phos, 5-NC, GGT Chronic - Slight GGT, AST, ALT |