Ascites and jaundice addt'l Flashcards Preview

Gastro 1 > Ascites and jaundice addt'l > Flashcards

Flashcards in Ascites and jaundice addt'l Deck (9)
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1
Q

Infiltrative hepatic dz

Liver mets come from

These lead to

A

sarcoid, HCC, mets

colon, gastric, breast, pancreatic, lung

Compression/obstruction of portal veins

2
Q

Peritoneal carcinomatosis

2 causes

Tb ascites

Translocation of intestinal bacteria into ascitis fluid

A

tumor cells in liver

ovarian cancer, peritoneal mesothelioma

Peritoneum studded with tubercles, secreting a proteinaceous exudate leading to fluid accumulation

Spontaneous bacterial peritonitis

3
Q

Mech of nephrotic ascites

Ascites sx

Mech of peripheral edema

SBP

A

dec oncotic pressure, fluid moves to interstitial spaces

Ab distension, discomfort, SOB, weight gain

Weight of peritoneal fluid compresses ab/pelvic veins, leading to dec VR

Fever, ab pain, altered mental status

4
Q

Dx test

Urobilinogen reabsorption

A

paracentesis

Conjugated in liver or excreted by kidneys

5
Q

Gilbert vs CN enzyme levels

Results in

A

Diminished vs low/absent

Inc unconjugated bilirubin (more in CN)

6
Q

Causes of intrahepatic cholestasis

Other extrahepatic etiologies

Hypertonicitiy with

A

viruses, alcohol, NAFLD, drugs

Inflitrative liver dz, PBC, PSC, enzyme def

Retrocollis and opisthotnonos

7
Q

Sx of cholestasis

Triggers of jaundic

CN jaundice develops in

A

Pruritis- worse at night/stress

Fasting, illness, exercise, alcohol, menstruation

childhood

8
Q

Normal serum bilirubin levels

24 hrs
48 hrs
72hrs

A

8
12
16

9
Q

Gilbert
CN
DJS/RS

Bilirubin levels

A

<7, <20% is conjugated
7-20, <20% is conjugated
2-20, >50% is conjugated