HPB

Question 1

Causes of acute liver failure

Answer 1

Viral hepatitis: hep b/c/e , hiv
Drug overdose/ Panadol or alcohol
Idiosyncratic drug reaction
Autoimmune hepatitis
Hepatic vein thrombosis: budd chiari syndrome
Sepsis

Question 2

Investigation in ED for acute liver failure

Answer 2

Panadol level
Ammonia level
vbg
Hepatitis serology
Liver uss - thrombosis/ cirrhosis
Septic screen
Autoimmune. Alcohol level/ ketone/ hcg copper/ caeruloplasm
Ct for complications

Question 3

What organisms leads to ileocolitis

Answer 3

Yersinia enterocolitis
Nause and vomiting
Diarrhea
Abdominal pain
Fever

Erythema monism
Reactive arthritis