Patho 3 3

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Author:
jld15
ID:
305745
Filename:
Patho 3 3
Updated:
2015-07-26 21:18:52
Tags:
Patho
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Description:
Patho 3 3
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  1. Fulminant Hepatica
    • Rapidly progressing form Hepatic encephalopathy
    • Rare
    • Causes
    • ---Acetaminophen hepatotoxicity
    • ---Drug reaction
    • ---Hepatitis A or B
    • Treatment
    • ---Supportive while liver goes into failure
    • ---Transplantation is the best option
    • --------80% mortality rate if no transplantation
    • Prognosis
    • ----Determined by cause
  2. Toxic (drug- induced) Hepatitis
    • Chemical, drug induced, herbal preps -Usually caused by acetometaphin
    • Mild symptoms to progression to fulminant
    • Poor prognosis if jaundice, encephalopathy, impaired liver function present
    • Factors that increase risk
    • ----Age (Increased number of medications)
    • ----Obesity
    • ----DM
    • ----Women
  3. Alcoholic Liver Disease
    • Acute or chronic
    • Chronic alcohol used leading to inflammation, scaring and fibrosis
    • Late detection
    • Diagnosis
    • ----ALT/AST- mildly elevated
    • Treatment
    • ----Depends on cessation of drinking to stop damage to liver
    • ----Nutritional support and education
    • Prognosis
    • ----How much liver damage is there
    • ----If alcohol is cessated
  4. Pancreas
    • endocrine
    • ----Production of insulin and glucagon
    • exocrine
    • ----secretion of digestive enzymes
  5. Acute Pancreatitis
    • Inflammation of pancreas bc digestive enzymes digest the pancreas (auto digestion)
    • Acute
    • ----Wide range of symptoms
    • ----Weak  severe (fluid collections around pancreas leading to sepsis)
    • ----Abdominal pain
    • ----N/V
    • ----AMS
    • Diagnosis
    • ----CT
    • ----labs
    • Treatment
    • ----Surgery to remove fluid
    • ----NPO
    • Prognosis
    • ----Gallstones
    • ---trauma
  6. Chronic Pancreatitis
    • Can be caused by acute
    • sometimes seen with ARDS
    • in a lot of pain, may be back pain so may have problem mobilizing them
    • Dietary limits
    • Small frequent meals
    • Not fatty
    • fluids
  7. Pancreatic Cancer
    • 4th leading cause of cancer death, worst 5 yr survival rate (1-5%)
    • Risk factors
    • ----Age >50
    • ----Tobacco use
    • ----women
    • ----Peptic ulcer surgery
    • ----Cholecystectomy
    • ----DM
    • Clinical signs and symptoms
    • ----Vague
    • ----Weight loss
    • ----jaundice
    • Metastasis
    • ----Liver
    • ----Lungs
    • Diagnosis
    • ----CT
    • Treatment
    • ----Palliative therapy (supportive comfort care)
    • Therapist considerations
    • ----Vague back pain
    • ----Cervical lymphadenopathy
  8. Function of gallbladder
    • reservoir of bile, which is important in digestion
    • releases bile into small intestine
  9. Gallstones
    • 80 cholestrol
    • 20% bile salt
    • main complaint: pain after eating
    • Diagnosis
    • ----Radiographs
    • ----Ultrasound
    • Treatment
    • ----removing of the gall bladder but the bile goes directly into the small intestine instead of being released into the small intestine
    • Therapist considerations
    • ----Physical activity to prevent symptoms and after surgery which is laparoscopic
    • ----Referred pain
  10. Cholecystitis
    • Inflammation of the gallbladder
    • Impaction of gallstones in the cystic duct
    • complication of gallstones

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