| A | B |
|---|
| liver enzymes | released when liver cells die |
| serum bilirubin | ^ w/ diseased liver |
| prothrombin time prolonged | can no longer produce prothrombin |
| serum albumin | thickens blood |
| globulin | contains antibodies, plasma protein |
| ^ serum ammonia | causes hepatic encephalophathy |
| jaundice | aka icterus |
| s/s of jaundice | yellowing of skin & eyes |
| cause of yellowing | liver will not convert bilirubin to bile |
| bilirubin | end product of RBC metabolism |
| bile stored where | gallbladder |
| bile formed where | liver |
| color of urine when jaundice | dark |
| color of stool when jaundice | clay colored |
| hemolytic jaundice | from excessive destruction of RBCs |
| hepatocellular jaundice | from diseases/damaged liver cells |
| obstructive jaundice | from blocked bile ducts |
| cirrhosis | liver cells damaged/scarr tissue develops |
| Laennnec's cirrhosis | aka alcholic cirrhosis |
| postnecrotic cirrhosis | dead liver cells from infection,hepatotoxins |
| biliary cirrhosis | scarring around ducts due to chronic obst. |
| portal hypertension | ^ pressure & congestion in portal veins |
| esophageal & gastric varices | bulging veins in esophagus/stomach |
| ascites | fluid in abd r/t portal HTN |
| hepatic coma (encephalopathy) | ^ ammonia in bld |
| Hepatitis A | food borne, person to person |
| Hepatitis B | bld/body fluids, vaccines |
| cholecystitis | inflammatio of gallbladder |
| cholelithiasis | gallstones |
| biliary obstruction | bile ducts cannot excrete bile |
| T tube | allows bile to drain until swelling down |
| pancreatitis | inflam, infection of pancreas |
| what occurs during pancreatitis | autodigection of pancreas |
| causes of pancreatitis | ETOH use, trauma,GB disease |
| serum amylase | breaks down polysacs to disacs |
| serum lipase | break down fat, esp trigly. |
| whipple procedure | remove head of pancreas,pt of stom,CBD,duod. |
