Liver disease — Flashcards

Flashcard 441: Patients with amoebic liver abscesses complain of _____ quadrant pain with hepatomegaly

Answer: right upper

Flashcard 442: How do platelet levels change with portal hypertension? _____

Answer: Decreased

Flashcard 443: Increased estrogen in cirrhosis may lead to _____, testicular atrophy, and amenorrhea (reproductive symptoms)

Answer: gynecomastia

Flashcard 444: The acute phase of HCV infection is marked by a rise and fall of _____ in 6 months (liver enzyme)

Answer: ALT

Flashcard 445: The bacterial organisms vibrio vulnificus and aeromonas hydrophila may cause _____ related to freshwater / seawater exposure

Answer: cellulitis

Flashcard 446: Primary sclerosing cholangitis and primary biliary cholangitis are associated with increased serum Ig_____

Answer: M

Flashcard 447: Osmotic Demyelination Syndrome classically presents as "_____" syndrome

Answer: locked in

Flashcard 448: What changes in stool are seen with Yellow fever?

Answer: Melena

Flashcard 449: What demographic is classically affected by primary biliary cholangitis (PBC)? _____

Answer: Middle-aged women (~ 40 y.o)

Flashcard 450: Which infectious liver mass is typically treated pharmacologically without the need for routine drainage?

Answer: Amoebic liver abscess (Entamoeba histolytica)

Extra: Amoebic liver abscesses are typically managed with pharmacological therapy (Metronidazole followed by a luminal amebicide like paromomycin) and rarely require drainage. This contrasts with pyogenic liver abscesses, which usually require both drainage and antibiotics.