2 most common causes of Cirrhosis Correct Answers Hepatitis
C
Alcohol Abuse
A patient with esophageal & gastric varices should avoid what?
Correct Answers Alcohol, aspirin, NSAIDs
Abdominal manifestations in pancreatitis Correct Answers -
LUQ or mid-epigastric pain*
-Sudden onset
-Deep, piercing, continuous, or steady pain
-Eating worsens pain*
-Not relieved by vomiting
Acute Pancreatitis Patient Goals Correct Answers -Relief of
pain
-Prevention/Alleviation of shock
-Decrease pancreatic secretions
-Correction of fluid / electrolyte imbalances
-Prevention/treatment of infections
-Removal of precipitating cause
After stabilizing a patient with a variceal bleed.. Correct
Answers -Stop the bleeding
-Identify source of bleed
-Interventions to prevent further bleeding
classic sign of hepatic encephalopathy Correct Answers
Asterixis
, Compensated Cirrhosis Correct Answers No obvious
symptoms
Blood test may show normal liver function
Complications of cirrhosis Correct Answers Portal HTN
Ascites
Varicosities Hepatic Encephalopathy
Peripheral Edema Hepatorenal Syndrome
Complications of pancreatitis Correct Answers pseudocyst and
pancreatic abscess
Cullen's Sign Correct Answers bluish periumbilical
discoloration
Decompensataed Cirrhosis Correct Answers will have 1 or
more complications of liver disease
Diagnostic Test for cirrhosis Correct Answers -Liver enzymes
(AST, ALT)
-Liver biposy = confirms diagnosis
(ultrasound can be used but is not reliable)
Diagnostic Test for pancreatitis Correct Answers Serum
amylase & lipase
Diet for a patient with ascites Correct Answers -low sodium
-small, frequent meals