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S09 Pathology 1e
End of Midterm Material
71
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Professional
06/11/2009

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Term
liver
Definition
The ___ functions to metabolize carbohydrates, fat and protein. It also synthesizes bile and detoxifies the body.
Term
unconjugated
Definition
Crigler-Najjar syndrome (type 1/2) and Gilbert syndrome are ___ hereditary hyperbilirubenemia.
Term
conjugated
Definition
Dubin Johnson and Rotor syndrome are ___ hereditary hyperbilirubenemia.
Term
1 / 2
Definition
Crigler-Najjar Type ___ is fatal due to kernicterus and has a neonatal period.
Type __ is less severe.
Term
gilbert syndrome
Definition
___ ___ is a mild and fluctuating unconjugated hereditary hyperbilirubenemia.
Term
dubin johnson (conjugated hereditary hyperbilirubenemia)
Definition
___ ___ is a defect in the canalicular membrane of hepatocytes.
Term
rotor syndrome = conjugated hereditary hyperbilirubenemia
Definition
___ ___ is caused by multiple defects in hepatocellular uptake and excretion of bilirubin.
Term
severe jaundice
Definition
Yellow skin / mucosa / sclera, itchy skin, dark urine, pale stool and impaired vitamin K absorption is due to ____ ___.
Term
Steatorrhea
Definition
___ is pale stool caused by fat in the feces.
Term
cirrhosis
Definition
___ is the end stage of many liver diseases.
Term
cirrhosis
Definition
___ is repeated bouts of inflammation, cell damage followed by healing with fibrous tissue leading to diffuse fibrosis, impaired liver function and increased chance of liver cancer.
Term
cirrhosis
Definition
___ is the loss of normal liver architecture.
Term
micronodular
Definition
___ is cirrhosis with <3mm nodules.
Term
macronodular
Definition
___ is cirrhosis with >3mm nodules or may be mixed with <3mm nodules.
Term
Alcohol!!
Definition
What is the #1 cause of cirrhosis?
Term
cirrhosis
Definition
The etiology of ___ include alcohol, Hep B/C infections, metabolic diseases, autoimmune diseases, biliary obstruction and vascularity.
Term
cirrhosis
Definition
Portal hypertension, ascites, edema, bleeding, jaundice and risk of liver cancer are the consequences of ___.
Term
hepatitis
Definition
___ is any inflammation of the liver, not just caused by a viral infection. It can be metabolic or autoimmune; chronic or acute.
Term
acute
Definition
___ hepatitis is characterized by swollen hepatocytes, inflammation, apoptosis, and massive necrosis.
Term
councilman bodies
Definition
Apoptosis in acute hepatisis is called ____ ____.
Term
fulminant hepatitis
Definition
___ hepatitis is characterized by massive necrosis.
Term
acute
Definition
Nausea, anorexia, enlarged liver, jaundice, elevated liver enzymes and abnormal coagulation are symptoms of ___ hepatitis.
Term
chronic (duh, hehe)
Definition
___ hepatitis is inflammation of the liver that lasts for more than 6 months.
Term
chronic
Definition
Viral hepatitis, alcoholic liver disease and liver disease caused by other drugs tend to be ___ hepatitis.
Term
A
Definition
Hepatitis ___ is caused by the picornavirus and is spread fecal-orally.
Term
Hepatitis A
Definition
Hepatitis ___ is caused by an RNA virus and is mild and often asymptomatic. There is NO carrier state!
Term
picornavirus
Definition
___ is a small RNA virus that causes hepatitis A.
Term
B
Definition
Hepatitis ___ is caused by a DNA virus. It increases risk of liver cancer 200-fold in carriers.
Term
B
Definition
Hepatitis __ is spread parenterally and sexually with most cases being subclinical.
Term
B
Definition
1/3 of hepatitis ___ patients develop cirrhosis --> may develop chronic hepatitis.
Term
C
Definition
Hepatitis ___ is transmitted sexually/parenterally and consists of 90% of post-transfusion hepatitis cases.
Term
hepatitis C
Definition
Hepatitis ___ is common in IV drug abusers. It is an acute self-limiting disease with a greater chance of a carrier state.
Term
B and C
Definition
Hepatitis ___ and ___ increase risk of liver cancer in carriers by 200xs.
Term
D
Definition
Hepatitis ___ is only present with hepatitis B. It increases the severity of hepatitis.
Term
E
Definition
Hepatitis ___ is waterborne and not a chronic disease. It has a high mortality rate in pregnant patient.
Term
8 oz
Definition
__+ oz per day = heavy drinking.
Term
10-15%
Definition
__-__% of alcoholics have cirrhosis.
Term
1oz women, 3 oz men
Definition
__oz daily for women and ___oz daily for men is moderate drinking and you must weigh the risk of liver damage against the protection from cardiovascular disease.
Term
steatosis
Definition
___ is a fatty change in alcoholic liver diseases. It is the mildest form of OH injury. It may be caused by a single binge and is reversible in 2-4 weeks.
Term
steatosis
Definition
____ is when microvesicles of fat form in the liver.
Term
alcoholic hepatitis
Definition
___ hepatitis is when fatty change is present. Liver cells die and PMNs/acute inflammation is present.
Term
micro
Definition
Alcoholic cirrhosis is usually ___nodular. 5-10% develop liver cancer.
Term
wilson's disease
Definition
___ ___ is copper overload caused by a mutation in Cu-transport ATP-ase leading to chronic hepatitis, cirrhosis, psychiatric disorders and kayser-fleischer rings on corneas.
Term
copper
Definition
Kayser-Fleischer Rings on corneas are caused by ___ overload.
Term
benign
Definition
Hepatic adenoma are ___ liver tumors in women of childbearing age usually. Cells resemble normal hepatocytes with minor variation and nodules can become large.
Term
benign
Definition
Hemangioma is a ____ liver tumor that is quite common and can become large.
Term
lung, breast, colon, stomach
Definition
Malignant tumors often metastasize from ___, ___, ___ or ___.
Term
hepatocellular carcinoma
Definition
___ ___ is the primary carcinoma of the liver. It is found more commonly in men than women and has a poor prognosis.
Term
True true true!
Definition
T/F: Hepatocellular carcinoma is found more commonly in males than females.
Term
hepatocellular carcinoma
Definition
Hepatitis B/C, cirrhosis, aflatoxins or mycotoxins may cause ___ ___.
Term
malignant
Definition
Angiosarcoma is a ____ liver tumor. It has a very poor prognosis.
Term
Angiosarcoma
Definition
___ is a rare malignancy of blood vessels with a very poor prognosis.
Term
angiosarcoma
Definition
Thorotrast contrast medium, arsenic, anabolic steroids and vinyl chloride are risk factors for ____.
Term
acute cholecystitis
Definition
___ ___ is an acute inflammation of the gall bladder with right upper quadrant pain usually due to gallstones. They may become infected and perforate.
Term
biliary peritonitis
Definition
___ ___ is when gallstones perforate the gall bladder.
Term
chronic cholecystitis
Definition
___ ____ is a chronic gall bladder inflammation caused by gallstones. The walls thicken and may calcify or fill with mucus.
Term
porcelain gallbladder
Definition
___ ___ is when the gall bladder calcifies.
Term
cholelithiasis (fair, fat, female, fertile)
Definition
___ is when the gallbladder becomes inflamed. It is usually asymptomatic and occurs in females > males.
Term
False! "fat, fair, female, fertile")
Definition
T/F: Cholelithiasis affects men more commonly than women.
Term
cholesterol stones / pigment stones
Definition
Gallstones can be either ___stones or ___stones.
Term
False! May also be caused by metabolic diseases (diabetes, amyloidosis) or circulatory distrubances (HTN, atherosclerosis, disseminated intravascular coagulation)
Definition
T/F: Glomerulonephritis is always inflammatory.
Term
>3.5 g/day
Definition
Proteinuria = > ___ g/day
Term
edema
Definition
___ in nephrotic syndrome is caused by low serum osmotic pressure.
Term
hyperlipidemia
Definition
___ in nephrotic syndrome may be caused by reduced serum apolipoproteins.
Term
polycystic / recessive / dominant
Definition
___ kidney disease is an autosomal ___ disease in children. It is autosomal ___ in adults.
Term
urolithiasis
Definition
___ are renal stones. They occur more frequently in men than women and have familial tendency.
Term
urolithiasis
Definition
____ are renal stones made of just calcium oxalate or calcium oxalate mixed with calcium phosphate most commonly.
Term
magnesium ammonium phosphate / uric acid / cystine
Definition
Urolithiasis may consist of ___ ___ ___, ___ ___ or ___ less frequently.
Term
85-90%
Definition
Renal cell carcinoma = ___% of all renal tumors. It occurs in males > females usually in older population.
Term
wilm's tumor
Definition
___ ___ is nephroblastoma. It occurs in children younger than 10 yrs and are aggressive tumors that metastasize quickly. May be treated with surgery, chemotherapy or radiation.
Term
wilm's tumor
Definition
___ ___ (nephroblastoma) are often mixed tumors (epithelial/mesenchymal elements), that may contain muscle, bone or cartilage.
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