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INDIAN DENTAL ACADEMY •

Leader in continuing dental education

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Learn from the mistakes of others. You can't live long enough to make them all yourself‌!

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CV

PT

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Yellow discoloration of skin & sclera due to excess serum bilirubin. > 40umol/l, (3mg/dl) Not necessarily liver disease. Conjugated & Unconjugated types Obstructive & Non Obstructive Pre-Hepatic, Hepatic & Post Hepatic types.

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•Blood •Conjugated & Conjugated •Urine – Urobilinogen •Stool – Stercobilin

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Jaundice

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Jaundice

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Post Hepatic (Obstructive) – Stone, tumor 

Pre Hepatic (Acholuric) - Hemolytic 

Unconjugated/Indirect Bil, pale urine

Hepatocellular Jaundice - Viral  

Conjugated/Direct Bil, High colored urine,

Liver damage - unconjugated Swelling, canalicular obstruction - Conjugated

Conjugated & Unconjugated types.

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Venkatesh Murthy Shashidhar Senior Lecturer in Pathology Fiji School of Medicine

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1. 2. 3. 4.

Diffuse fibrous scarring of liver. End result of many diseases of liver. Loss of architecture Liver failure Portal Hypertension – 1. 2. 3.

Spleenomegaly Porta-systemic shunts. Ascitis

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Fibrosis

Regenerating Nodule

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Alcoholic liver disease Viral hepatitis Biliary disease Primary hemochromatosis Cryptogenic cirrhosis

60-70% 10% 5-10% 5% 10-15%

Wilson’s, α1AT def

rare

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Hepatocyte injury & necrosis Fibrous scarring Parenchymal regeneration (non functional) Loss of archetecture & Vascular disruption Portal hypertension Liver failure – Hepatic coma. •www.indiandentalacademy.com


BRAIN

Porta systemic shunts LIVER

Toxic N2 metabolites From Intestines •www.indiandentalacademy.com


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Jaundice, Abdominal Striae

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Congestive splenomegaly. Bleeding varices. Hepatocellular failure. 

Hepatic encephalitis / hepatic coma.

Hepatocellular carcinoma.

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Common end result of diffuse liver damage. (common causes: Viral hepatitis & Alcohol)

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Characterised by complete loss of architecture. Replaced by fibrosis & regenerating parenchymal nodules. Hepatocellular insufficiency & portal hypertension.

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www.indiandentalacademy.com • Leader in continuing dental education •

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Ch18/ dental implant courses by Indian dental academy