Path Lecture: Liver and Pancreas 10

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1

what does the amylase clearant test show you

this could be to detect a pancreatic problem related to pancreatitsi or postop procedures

2

what does serum amylase test mean

if in conjunction with pancreatic symptoms, could signify acute pancreatitis or any other type of pancreatic problem

usually ordered with lipase, more specific

3

what does unconjugated bilirubin test look for

any type of hemolytic anemia type isease

4

what does conjugated bilirubin test look for

damage to the liver like neonatal hepatitis and biliary atresia

5

what is included in the acute hepatitis panel in terms of viruses detected

HAV
HBV
HCV

6

what types of antibodies are tested for in the acute hepatitis panel

HAV Ab IgM
HBV cAg Ab IgM
HBV sAg
HCV Ab
HAV Ab total and HBV cAb total
HBV sAb

7

how long will it take your body to make HAV IgM antibodies

2-3 weeks after infection

8

how long will your body keep HAV IgM antibodies

2-6 months

9

what does a positive HAV IgM mean

acute HAV

10

what is the first antibody made in response to HBV infection

IgM cAg

11

what types of things are indicated by a high HBV cAg IgM

acute infection or chornic HBV flares

12

what is the earliest indicator of HBV infection

HBV sAg

13

does an HBV sAg mean that the person was just infected

no the person may be chronically infected

14

does the HCV antibody test distinguish between active or pervious infection

no

15

what do HAV Ab total and HBV cAb total do

detect both IgM and IgG Ab and can be used to detrmine if the person has had a previous infection

16

what can the HBV sAb test be included for

determine if infection has resolved or if person ahs developed an antibody after receiving an HBV accine and received immunity vs. HBV

17

what is the AST test used to detect

liver damage

18

is AST Or ALT more specific

ALT

19

when is the AST/ALT ratio ususally incread

alcoholic hepatitis, cirrhosis,

20

when is ALT/AST ratio usually increased

viral hepatitis

21

what is LDH relaly a measure of

indicator of severity of liver damage

22

what is AP generally used to detect

bile duct problems

23

what is GGT used to detect

bile duct prblem

24

what is lipase used to detect

pancreatic problem

25

when else can ALP be elevated

bone disease


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