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What is the initial lab finding indicating Cirrhosis? - 🧠 ANSWER
✔✔Thrombocytopenia (platelets below 150,000)
You are palpating a patient's abdomen for hepatomegaly and determine
that the right lobe is elongated. You describe your finding as a "tongue-like
inferior projection of the right lobe of the liver". What is the name of your
finding? Is it considered an abnormal finding/positive for hepatomegaly? - 🧠
ANSWER ✔✔Reidel's lobe
No. Reidel's lob is a normal variant. Do not be fooled!!
,What is the major source of bilirubin? - 🧠 ANSWER ✔✔Senescent (old) red
blood cells
(Bilirubin is a breakdown product of heme & the majority of heme (70-90%)
comes from/is released from senescent RBCs)
What are the congenital conditions that result in conjugated
hyperbilirubinemia? - 🧠 ANSWER ✔✔Rotor's Syndrome & Dubin-Johnson
Syndrome
A woman has a baby diagnosed with Dubin-Johnson syndrome, what is the
prognosis? Treatment? - 🧠 ANSWER ✔✔The prognosis is great, no
treatment necessary, only intervention is to have the child avoid estrogens
when they are older
A pregnant woman is diagnosed with HELLP syndrome. What is your
recommendation regarding her delivery? - 🧠 ANSWER ✔✔Prompt delivery
is MANDATORY
Is PBC (primary biliary cirrhosis) more common in males or females? - 🧠
ANSWER ✔✔Females
, Is PSC (primary sclerosing cholangitis) more common in males or females?
- 🧠 ANSWER ✔✔Males
Which of the following is NOT a risk factor for developing gallstones?
A) Pregnancy
B) Estrogen use
C) Obesity
D) Rapid weight loss
E) Male gender - 🧠 ANSWER ✔✔E) Male gender
Females are more at risk for developing gallstones.
A chronic liver disease patient presents with the following manifestations:
arthralgias, glucose intolerance, hypogonadism, cardiomyopathy. What is
the most likely diagnosis? - 🧠 ANSWER ✔✔Hemochromatosis
A patient presents with isolated unconjugated hyperbilirubinemia of 2.1
(mild elevation). What is your diagnosis? - 🧠 ANSWER ✔✔Gilbert's
Syndrome
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