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High pitched gurgling, q 5-10 seconds, 5-30 times a
What are normal BS?
minute
- Kupffer cells: helps clean up the blood, increased
risk of infection if these cells are not working
- Metabolism and detox: helps release glucose
when we need it and digest proteins. Store in
gallbladder and then it stores some fat and then the
gallbladder helps emulsify fat. Helps detoxify
Liver function
medications, ammonia
- Bile formation: may have fatty stools. Normal color
of urine and stool we can asses if bile is working.
Asses for jaundice with sclera, and mucous
membranes
- Regeneration: up to 70%
- Liver failure: jaundice, ascites, hepatic
encephalopathy, peripheral edema, dry skin, RUQ
pain, clay colored stools, tea colored urine. Helps
Liver failure s/s and
produce clotting factors so if liver isn't working
treatment
patients can have bleeding.
- Treatment: Lactulose, dialysis, albumin,
paracentesis
, - It is an exocrine glands (secretes into the ducts).
Helps with acid base balance (produces bicarb to
help with acid in stomach). Endocrine secretes into
the blood and exocrine releases into the digestive
- Pancreatitis: most common cause is from alcohol
use, very painful, insulin, digestive enzymes, chronic
Pancreas
pancreatitis can lead to diabetes, watch blood
sugar, call stones
- If these enzymes cant pass through the proper
channels they start to leak out. They cannot digest
as well as it swells up the peritoneal cavity which
then presses on the lungs
•Virus, bacteria, medications, hepatotoxins
•A- fecal-oral. Contact crowds/poor sanitation.
Hepatitis •B- blood and body fluids.
•C- parenteral- MOST common cause of cirrhosis.
•D and E- parenteral and waterborne.
•LFT (liver function tests)
•Coagulation
•Lipase
Liver failiure diagnosis •ERCP/MRCP
•CT
•Paracentesis
•Biopsy
Coagulation problems Bile fats not synthesized- affects Vitamin K
because... absorption.
Obstruction of flow leading to increased pressure in
Portal hypertension
the portal vein.
Swollen, twisted veins in the esophagus that are
esophageal varices especially susceptible to ulceration and
hemorrhage