Cirrhosis management — Flashcards

Flashcard 1: AST _____ ALT in nonalcoholic liver disease suggests progression to advanced fibrosis or cirrhosis

Answer: >

Flashcard 2: Viral hepatitis is characterized by elevated liver enzymes with ALT _____ AST

Answer: >

Flashcard 3: Esophageal varices may rupture, which presents with painless _____

Answer: hematemesis

Flashcard 4: Treatment of portosystemic shunts with TIPS can precipitate _____ in cirrhotic patients

Answer: hepatic encephalopathy

Flashcard 5: _____ is a common, potentially fatal bacterial infection in patients with cirrhosis and ascites

Answer: Spontaneous (primary) bacterial peritonitis

Flashcard 6: _____ syndrome is a complication of portal hypertension characterized by rapidly developing renal failure, secondary to cirrhosis

Answer: Hepatorenal

Flashcard 7: What is the most common cause of portal hypertension in Western countries? _____

Answer: Cirrhosis

Flashcard 8: Meigs' syndrome

Answer:

Extra: ovarian fibroma, ascites, hydrothorax

Flashcard 9: What conditions are associated with myoclonus?

Answer: metabolic abnormalities e.g. renal or liver failure

Flashcard 10: hepatic encephalopathy (ammonia intoxication)

Answer: acquired (liver failure) or hereditary (enzyme deficiency)

Extra: excess NH4+ in blood and inhibition of TCA cycleasterixis, slurred speech, blurred vision, somnolence, vomiting, cerebral edemalimit protein in diet, benzoate or phenylbutyrate, lactulose