Disease States
What disease state would see a decrease in Platelets and Albumin, an increase in Bilirubin and deals with the stiffening of the liver with an elevated kPa
Cirrhosis
This unwanted feature can be present in FibroScans when the operator accidently hits ribs.
Rib Echo
When collecting a waist measurement in the clinic what must we tell the patient to do with their shirt?
Lift the shirt up and out of the way to make contact with the bare skin with the tape measure.
What class of medication is Ozempic
GLP-1
This risk factor for MASH has to do with a high level of glucose within the blood sustained for a prolonged period of time (3 Months). Typically measured as a percent value.
Hemoglobin A1c
A patient presents to the clinic with a a diagnosed fatty liver. In the LC the FibroScan shows a CAP of 340 and a kPa of 4.7. What is the term for this stage of liver fat and inflammation?
MASLD
Please state the upper limit of both the CAP score and kPa
400 CAP and 75 kPa
When completing a weight measurement, besides taking off shoes, hats, emptying pockets, and removing all other items that may increase a patient's weight. RAs should always ask if the patient needs to do this, to ensure weight is collected properly and no PDs are created.
Use the bathroom
Levothyroxine is prescribed for this medical condition. This condition has a very mild association with a higher risk of a fatty liver.
Hypothyroidism
This risk factor has to do with elevated levels of pressure within the bloodstream. Please give me the medical name for this.
Hypertension
What are the two classifications of Cirrhosis. One classifies early-stage cirrhosis which we treat where the liver still has some function left to it. The other refers to a completely nonfunctioning liver that usually results in death or transplant.
Compensated Cirrhosis and Decompensated Cirrhosis.
Per Echosense protocol if a KPA of ______ is achieved in the first scan a second scan must be completed to ensure proper results.
7
A blood pressure under 100 mmHg systolic or 60 mmHg diastolic could be considered hypotensive. If this is to occur to your patient you should ask the patient if they feel fatigued, lightheaded and dizzy. You should also find these people/person to let them know what is going on.
CRC/Sub-I
Humulin Novolog, Lantus, Levemir, are examples of this medication used for Diabetics.
Insulin
Patients of Hispanic or _____ decent are genetically more susceptible to having a fatty liver and MASH
Asian
A patient comes in with a CAP under 250 but has an elevated kPa anywhere from 7-15ish. This can be caused by many factors such as viral infections (Hep C), toxicity, etc... but is not usually caused by metabolic disfunction. This disease state is not treated currently at Covenant. (Long-term liver damage over months to years)
Chronic Liver Disease (CLD)
The ______ intercostal space is often used to complete FibroScans due to its positional relationship to the liver
7th
A finding of a myocardial infarction appears on a patient's Screening ECG so you let the Sub-I know. They tell you to keep trying as we should try to remove this finding if the patient has none of these diagnosed. What is a myocardial infarction?
Heart Attack
A statin such as Atorvastatin is used to treat this risk factor. Please give me the medically recognized name.
Hypercholesterolemia
A patients Medical History reads: BP 160/80, Cholesterol 247, HbA1c 5.5, BMI 34.5, Fatigue, GERD, Knee Pain.
How many risk factors does this patient have based on this information above?
3 (Hypertension, Hypercholesterolemia, BMI)
What does M.A.S.H stand for?
Metabolic Associated Steatohepatitis
The FibroScan operates by emitting _______ waves through the liver to measure how _________ they move through the liver. This is the bases of how liver elastography works.
Sound / Fast
You can always reference this section of the protocol that has a 3-letter abbreviation to find out what procedures are preformed at what visits so we ensure all measurements that need to be collected are collected.
SoA (Schedule of Events)
GLP-1 stands for what?
Glucagon Lipe Peptide 1
This risk factor, which is only seen in woman, deals with a patient ovaries. It is a lesser-known risk factor of Fatty Liver and MASH
PCOS (polycystic ovarian syndrome)