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12 Cards in this Set
- Front
- Back
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Two things a dipstick can find in your pee?
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bile (normally neg)
urobilinogen (normally pos) |
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Different categories leading to increased bilirubin
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1. Pre-hepatic: increased phys load
2. Intrahepatic: liver disorders 3. Post-hepatic: decreased bile excretion or bile drainage |
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Etiologies of Intrahepatic disorders
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1. Dec hepatocellular uptake (gilbert's)
2. Dec Conjugation (Crigler and Gilbert) 3. Impaired secretion-->mixed hyperbili (dubin-johnson and Rotor) 4. Acute or Chronic Liver Disease 5. Hepatitis (viral or other) |
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Hepatic Disorders with Prominent Cholestasis
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Diffuse Infiltrative Desorders (amyloidosis, HCC)
Infl of intrahepatic bile ductules and/or portal tracts (pericholangitis, PSC) |
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Post-hepatic disorders
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Choledocholithiasis
Disease of bile ducts (PSC or carcinoma) Extrinsic Compression (Pancreatic stuff) |
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What is Gilbert's Syndrome
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Hereditary disorder of bili metabolism.
Worsened by dehydration Bili doesn't usually get high than 4 |
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Physiologic Jaundice of Newborns
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1. Delayed development
2. Breast feeding may aggrevate 3. Usually resolves on its own |
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Signs of Cirrhosis
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Jaundice
Spider Angiomas Ascites Palmar Erythema Edema of annkles Inc Prothrombin Time |
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Who gets PBC?
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women!
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Kickers of appearance of liver and its biopsies
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Fatty
Nodularity |
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What can come after PSC?
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Cholangiocarcinoma
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How can UC affect the liver?
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Fatty Liver
Pericholangitis Chronic Active Hepatitis Cirrhosis PSC |
