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12 Cards in this Set

  • Front
  • Back
Two things a dipstick can find in your pee?
bile (normally neg)

urobilinogen (normally pos)
Different categories leading to increased bilirubin
1. Pre-hepatic: increased phys load
2. Intrahepatic: liver disorders
3. Post-hepatic: decreased bile excretion or bile drainage
Etiologies of Intrahepatic disorders
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)
Hepatic Disorders with Prominent Cholestasis
Diffuse Infiltrative Desorders (amyloidosis, HCC)
Infl of intrahepatic bile ductules and/or portal tracts (pericholangitis, PSC)
Post-hepatic disorders
Choledocholithiasis
Disease of bile ducts (PSC or carcinoma)
Extrinsic Compression (Pancreatic stuff)
What is Gilbert's Syndrome
Hereditary disorder of bili metabolism.
Worsened by dehydration
Bili doesn't usually get high than 4
Physiologic Jaundice of Newborns
1. Delayed development
2. Breast feeding may aggrevate
3. Usually resolves on its own
Signs of Cirrhosis
Jaundice
Spider Angiomas
Ascites
Palmar Erythema
Edema of annkles
Inc Prothrombin Time
Who gets PBC?
women!
Kickers of appearance of liver and its biopsies
Fatty
Nodularity
What can come after PSC?
Cholangiocarcinoma
How can UC affect the liver?
Fatty Liver
Pericholangitis
Chronic Active Hepatitis
Cirrhosis
PSC