GI & Hepatic Part 10

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Across
  1. 1. Age-related loose teeth, implants, and dentures make careful documentation of this feature essential before airway instrumentation
  2. 5. Upward diaphragmatic pressure from tense ascites decreases this lung volume remaining after a normal expiration (three words)
  3. 6. Inflammatory hepatocyte injury and fibrosis arising from nonalcoholic fatty liver disease are represented by this abbreviation
  4. 7. Like rocuronium, this neuromuscular blocker may have a prolonged duration in significant hepatic dysfunction
  5. 10. Tense abdominal fluid makes the respiratory system stiffer by reducing this measure of lung expandability (two words)
  6. 11. This extra-pulmonary fluid collection should be assessed preoperatively in advanced liver disease because it can worsen oxygenation and supine tolerance (two words)
  7. 12. Active inflammation with impaired hepatic function makes elective surgery particularly hazardous and usually warrants postponement (two words)
  8. 13. Prolonged suction against a fixed point in the esophagus can cause this localized form of tissue death (two words)
  9. 17. Incomplete neuromuscular recovery can allow weakness to return after apparent emergence, producing this dangerous postoperative event
  10. 21. Obesity, insulin resistance, dyslipidemia, and related abnormalities make this condition strongly associated with NAFLD and NASH (two words)
  11. 22. The earliest fatty stage of alcohol-related liver disease may remain reversible when alcohol consumption stops (two words)
  12. 24. Paralysis relaxes the upper esophageal sphincter, allowing forceful mask ventilation to produce this unwanted entry of air into the stomach (two words)
  13. 26. This laboratory panel evaluates anemia from bleeding, leukocytosis from infection, and thrombocytopenia from portal-hypertension-associated splenomegaly (three words)
  14. 28. Bedside scanning of the antrum to estimate gastric contents and support aspiration-risk decisions is called this assessment (two words)
  15. 32. This procedure may improve pulmonary mechanics in symptomatic ascites, although excessively rapid fluid removal can cause circulatory collapse
  16. 33. MELD was designed primarily to estimate this outcome rather than directly measuring every perioperative complication of cirrhosis (three words)
  17. 34. Preoperative preparation of compatible blood products is appropriate when portal hypertension, coagulopathy, or major surgical bleeding is plausible (three words)
  18. 38. Loss of hepatic synthetic function can produce this impaired-hemostasis state, although liver disease may disturb both procoagulant and anticoagulant pathways
  19. 39. Inability to breathe comfortably while lying flat may indicate that ascites or pleural fluid is already impairing pulmonary mechanics
  20. 40. This procedure permits direct visualization, biopsy, bleeding control, dilation, and cancer screening within the gastrointestinal lumen
  21. 41. Disruption of normal colonic flora can allow overgrowth of this organism, producing toxin-mediated diarrhea and colitis (two words)
  22. 43. This renal marker contributes to the MELD calculation and becomes especially concerning when hepatorenal syndrome is possible
  23. 44. Reduced hepatic blood flow and enzyme activity in older adults may produce this pharmacologic consequence after otherwise routine dosing (three words)
  24. 45. Reduced biliary elimination in liver disease can substantially prolong the effect of this aminosteroid neuromuscular blocker
  25. 46. Using an average esophageal length of about 25 cm plus the pharyngeal distance, this device is commonly advanced to approximately 30–35 cm in an adult (two words)
  26. 48. This cross-sectional imaging method is useful for identifying abdominal lesions, pancreatic or hepatic tumors, cysts, and complications of inflammation (two words)
  27. 49. Bilirubin, INR, and creatinine are incorporated into MELD partly to guide this allocation process (two words)
  28. 50. Severe liver disease in this category generally favors nonsurgical management or postponement of elective surgery until improvement (three words)
Down
  1. 2. Jaundice emerging approximately one to two weeks after the prodrome marks this stage of viral hepatitis (two words)
  2. 3. This inflammatory stage can follow steatosis and precede fibrosis or cirrhosis in the progression of alcohol-related liver disease (two words)
  3. 4. This clinically important liver-disease risk factor may be inadequately represented by an otherwise objective MELD score
  4. 8. This hemodynamic disturbance should be prevented and rapidly corrected because it can worsen hepatic injury, encephalopathy, and hepatorenal syndrome (two words)
  5. 9. The colon normally contains large numbers of these bacteria that thrive without oxygen
  6. 14. The age-related decline in esophageal and gastric motility increases aspiration risk through this process (three words)
  7. 15. Massive hepatocyte destruction from viral hepatitis or toxins may heal with irregular scarring and produce this condition (two words)
  8. 16. Chronic obstruction of the common bile duct can ultimately produce this posthepatic fibrotic liver disorder (three words)
  9. 18. Documenting this preoperatively allows postoperative confusion or worsening encephalopathy to be recognized as a new change (three words)
  10. 19. This first-line imaging modality commonly detects gallstones, gallbladder abnormalities, masses, and intra-abdominal abscesses
  11. 20. This severe form of peritoneal fluid accumulation may justify drainage before elective surgery when ventilation, preload, or supine positioning is impaired (two words)
  12. 23. Increased abdominal pressure from ascites can produce this mechanical cause of reduced venous return while the patient is supine (two words)
  13. 25. Resolution of jaundice begins this stage, although some forms of viral hepatitis may instead progress toward chronic disease (two words)
  14. 27. This laboratory panel helps identify renal dysfunction and electrolyte abnormalities that can worsen encephalopathy and anesthetic risk (three words)
  15. 29. Complete reversal with this binding agent may be necessary when prolonged aminosteroid neuromuscular blockade creates postoperative airway risk
  16. 30. Reduced gastrointestinal and airway secretions in an older adult produce this condition, increasing the need for lubrication during tube placement (two words)
  17. 31. Compression of the inferior vena cava by tense ascites may reduce this ventricular filling variable
  18. 35. Normal aging reduces this blood-flow variable, contributing to less efficient drug and alcohol metabolism (two words)
  19. 36. This electrolyte disorder may increase perioperative risk in cirrhosis even though traditional MELD scoring may not fully represent it
  20. 37. This early stage of viral hepatitis occurs after exposure and features nonspecific symptoms before jaundice becomes apparent (two words)
  21. 42. This tissue-sampling procedure confirms selected hepatic diagnoses and is generally low risk in a healthy liver because of its regenerative capacity (two words)
  22. 47. A low concentration of this oxygen-using bacterial category can be normal in the jejunum