Hepatology exam review

Stauffer's syndrome

A condition associated with renal cell carcinoma that can cause elevated liver function tests.

Kayser Fleischer rings

These are associated with Wilson's disease.

Crigler Najjar 1

A rare genetic disorder that may require a liver transplant for survival.

Intrahepatic cholestasis of pregnancy

A condition characterized by severe pruritus and jaundice during pregnancy, often involving the palms and soles.

blood test that may indicate alcohol abuse when liver function tests are abnormal

GGTP

A lab finding that suggests a chronic liver disease situation

Low albumin

A lab test useful for monitoring the progression of acute liver failure

PT

An FDA approved medication for treating metabolic associated liver disease with fibrosis

Resmetirom

A liver disease that can present with tremors, choreiform movements, and abnormal gait

Wilson's disease

A likely diagnosis for a heavy drinker presenting with flu-like symptoms, malaise, anorexia, weakness, jaundice, and fever

Acute alcoholic hepatitis

The first test to perform for family members of a patient diagnosed with hemochromatosis

ferretin; if elevated, look for HFE gene mutation.

A finding compatible with primary sclerosing cholangitis (PSC) in a liver biopsy

Onion skin fibrosis of the hepatic ducts

A renal tubular dysfunction that may develop in patients with Wilson's disease

Fanconi syndrome

A condition indicated by elevated alkaline phosphatase and transaminases, with plasma cells found in a liver biopsy

Autoimmune hepatitis

liver lesion and an alpha-fetoprotein level over 1,000 in a patient with chronic hepatitis B

Hepatocellular carcinoma

A diagnosis for a patient with intermittent RUQ pain and gallbladder dyskinesia, often leading to a recommendation for cholecystectomy

Chronic acalculous cholecystitis

Charcot's triad

Fever, chills, RUQ pain, and jaundice.

Mirizzi's syndrome

A condition where a stone in the cystic duct is surrounded by an inflammatory mass compressing the common bile duct.

Gallstones associated with total parenteral nutrition (TPN)

Black pigment gallstones

Caroli's syndrome + choledocal cyst treatment

sx removal

(really transplant but know excision w Roux-en Y hepaticojejunostomy)

A liver mass suspected in patients with primary sclerosing cholangitis (PSC)

Cholangiocarcinoma

PBC

Primary biliary cholangitis, associated with antimitochondrial antibody, 95% effective in diagnosis.

Gallstones pain symptoms

Pain after meals, pain radiates to back, pain lasts all day, pain associated with nausea and relieved with food

Ulcerative colitis and liver disease

A middle-aged male with elevated alk phos and beaded appearance to bile ducts on ERCP likely has PSC.

Hepatitis E

Most likely diagnosis for a patient who traveled to Central America and returned with acute hepatitis after vaccination for hepatitis A and B.

Hepatitis A

Type of hepatitis a young woman working in a daycare center likely has.

Unconjugated hyperbilirubinemia

Condition likely affecting a 45-year-old male with lifelong unconjugated hyperbilirubinemia.

Gilbert's syndrome

Benign unconjugated hyperbilirubinemia.

Dubin Johnson syndrome

Condition where the liver appears black during laparoscopy.

HELLP syndrome advice

Urgent delivery to save the mother.

Phototherapy

Treatment required for an infant diagnosed with Dubin-Johnson syndrome.

Crigler Najjar 2

Condition where the patient will need a liver transplant.

Wilson's disease

Suspected in a patient with arthralgias, cardiomyopathy, glucose intolerance, and hypogonadism.

Stage 1 encephalopathy

Stage of encephalopathy that includes sleeping all day, up all night, and becoming forgetful.