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GIT, LIVER & GB

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By Dr. Thameem Saif


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@freemedstuff
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CALP takes time to 9)

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(Amo ✗ icloud

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Behalf ,
etc

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Bilirubin PP ; ALP /Bilirubin th
→ ALT : AST > 2 ;

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(Bileduct ( Bile duct
clearance intact obstructed)

(9)

Capp)

@kPa→9 Fibrosis)

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@egurukulnotespdf

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← ( RNA )
virus

close
personal contact

(Iga)

¥0
months after exposure

long 1-112
g.

conjugated bilirubin attached b- Albumin

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(even though virus is
replicating

(Blood transfusion
,
Needle stick, )
etc

(Immunocompromised)

☒ mm• ☒

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p
marker of non -

replicative phase

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↳ No role
protective

along c- Hbs
Ags chronicity

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• Fibrosis ⑦

± ,
chronic
hepatitis
Don't
RI

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point
Ri
Anti -

Hbs Ag
µ,

Hhs
Ag
→ Infection ④

Anti Hbs
-
→ Recovered /vaccinated (alone)

Hbe

Anti -
Ag
A be
Js Infectivity
Anti Hbc -
→ Acute / Chronic / Infected now or
previously
< 2000

"
suspect
Also
'

peewee mutant
'

at epc > Hep B )


limbs
( erythematosus ,
maailo
popular rash over
face , ,

buttocks , trunk
* AHB →
supportive Rx
only (957
- recover
spontaneously
who to chronicity → Antivirals
↳ 5 % progress

(Hhs Ag ⑦ Anti Hbo -10)


IgG
-

}
AN ACTIVE
CARRIER]

>

>

[8>(2×35) ; I> (2×255)

GUN)
( will
Biopsy
be ⑨ )

[ IMMUNE TOLERANCE]

r
r

P A LT > 2 UL N
PACT < 2 U LN

d
SE RO CONVERSION
(may be)

d
FIBRO SCAN
2- 3
months
every
to

④ if Fibrosis ④ / persists > 6 months


(for Hep B)

* Hep c →
Poly therapy usually
£4bn

IfHheAg -0 lifelong
:

* m -

☒ Go Genotypesin Hep B)

*
(until Anti Hhs Ag ⑦
-

E)
WR
4100)

6100)

61003

¢100)

(
of Hcc)
(HBV & HDV infection simultaneously )

Mt ,
Hbs
Ag ⑦

MyHbs Ag ④
Iss)

replicates only in
Hep C .
CII :
Dialysis Renal
, Dysfunction
induces
[ Hepeviridae]

except in
Immunocompromised .

stool
Diagnosis
HEVRNA Abs
→ Anti -
HEV

HEVAG liver
✓→
IgM IgG
d b
Acute Hope Recovered from
Hep E
(a)
chronic Hepe
in HIV patients

@egurukulnotespdf

* use
Herpes simplex Hepatitis
Discount code
ALTPPPC sooo
: •

) *KUCH40* to get
>


No
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lug CUSA) 8g (UK)

2 hrs

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Ab ⑨ liver Biochem
(to decide the need for steroids)

→ conservative Rx
→ steroids

→ Benefit from steroids


steroids
→ No
benefit from
Branched chain amino acids
(Iv fluids ,
,

Thiamine , etc )

→ Ck : Infection ④
}
MELD > 21

SEVERE

+ we
- ne
:
since Apoceruloplasmin
can't attach to ait
t
misfolding of Apo Cp
-

d
b tin of Apo -

Cp
d
bsr Cp
.
(presentation
* PcT→ Poñ AAS Glu
, ,

reabsorption
accumulated ait )
(No effect on
already

Hepatocytes
#

sense the Fe
them
[
using
to ⑦
bltepcidin
(many → Asympkemic + So . Fett Heterozygous patients .
mutation

mutation

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(MLP , wrist , Knee , Ankle)

(2° )

Gi )
Fe c- in
Hepatocyte
Pana
:

inflammation
trial


Infectious
inside
PVT
extending

He

> 39

cirrhosis Ascites
* c-

* Ascites c-
to Ascitic Protein
Any
Hr

Ascites)
9 Risk of SBP
( cirrhosis +

( )
IDs tab daily
Hematogenous spread of metastasis
no Tnfection
DIC , ,
,
emboli
pulmonary
.

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(Albumin + Fluid )

(Alcoholic Hepatitis , SBP , GI bleed , etc)


white content

undigested food foamy
,
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4) (9)
t
Casso .
c-
( )
c- simultaneous
contractions)

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Ba swallow
-

gst
q

Endoscopic biopsy (Dx)

( Acne medications)

N R
-
.

→ Ganci Iori r

Acyclovir

steroids
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9 Neutrophils
twice gobs

( induced
ulcer)
+ PP Is

flagella
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÷.
MMµ@Ba
:
,
Heart burn
Annunziatad
-

Adrenal

insufficiency
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,
Infertility

(Iran)
@ it K)

Coit )
(ait)
← Endoscopic Biopsy
Serology
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→ Ri
.

stop day
absorbed tout lymphatic heute)
(Bypass lymphatics →

s
Joints

Fever
,

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(Extra intestinal
sample)
Cif allergic

Cif allergic
Granulomatous colitis + Albinism + Platelet dysfunction
(thrombocytopenia -1 Eczema -1 Siro
pulmonary infections
µ
Nf
*

Ri Ri
vara

Cuc ,
CD)
( if Aza / 6 MP not tolerable
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s

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