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24 Cards in this Set
- Front
- Back
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Weight of the liver?
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1200-1500 g
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Location of liver?
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Dome of diaphragm
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% of liver on the left side?
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75%
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Upper and lower borders of liver in inspiration?
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Upper: 5th rib
Lower: 9th rib Expiration it goes 1 down (6&8) |
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What can be heard in perihepatitis?
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Friction rub
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What is the cruveilhier-Baumgarten syndrome?
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Liver cirrhosis or portal hypertension is causing dilation of the umbilical or paraumbilical veins
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What is the Riedel´s lobe?
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A common tounge-shaped protrusion of the right lobe caudally
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What is the chilaiditis syndrome?
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When transverse colon is moved between liver and anterior abdominal wall - giving a tympanic sound when percussing instead of a dull hepatic sound
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To cause jaundice, how many micromol/L of bilirubin must be in the blood?
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At least 30umol/L
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3 types of jaundice?
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1. Prehepatic
2. Hepatocellular 3. Cholestatic |
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Prehepatic jaundice: change in non conjugated serum bilirubin?
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Increased
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Prehepatic jaundice: change in conjugated serum bilirubin?
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None
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Prehepatic jaundice: Color of feces?
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Dark, due to watersoluble bilirubin, give higher concentration of stercobilin and stercobilinogen
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Prehepatic jaundice: Urine bilinogen?
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Increased
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Hepatocellular jaundice: Serum bilirubin (both conj. & non-conj.)?
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Increased
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Hepatocellular jaundice: Feces color?
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Light, due to little stercobilinogen due to low bile excretion
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Hepatocellular jaundice: Bilirubin in urine?
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yes
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Cholestatic jaundice: Serum bilirubin?
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Both increased
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Cholestatic jaundice: Feces color?
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No color - since stercobilinogen cannot be produced in gut
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Cholestatic jaundice: Where is conjugated bilirubin excreted?
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Kidneys & urine
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Cholestatic jaundice: Other typical indicators?
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- Hyperlipidemia
- Increased alkaline phosphatase |
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Portal hypertension gives risk of?
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Ascites
Hepatic encephalopathy Esophageal varices bleeding |
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4 types of portal hypertension?
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1. Prehepatic (portal vein blockage)
2. Hepatic pre-sinusoid (infiltrates in periportal space) 3. Hepatic post-sinusoid (liver cirrhosis) 4. Posthepatic (obstruction of hepatic veins) |
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What is asterixis?
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Flapping tremor, typical for hepatic encephalopathy
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