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Acute liver failure

Index Acute liver failure

Acute liver failure is the appearance of severe complications rapidly after the first signs of liver disease (such as jaundice), and indicates that the liver has sustained severe damage (loss of function of 80–90% of liver cells). [1]

130 relations: Acetylcysteine, Acute fatty liver of pregnancy, Acute respiratory distress syndrome, Acute tubular necrosis, Adrenal insufficiency, Alanine transaminase, Albumin, Alcoholic drink, Alcoholic hepatitis, Alkaline phosphatase, Amanita phalloides, Amatoxin, Ammonia, Amylase, Anaerobic glycolysis, Anti-nuclear antibody, Anti-smooth muscle antibody, Antibody, APACHE II, Arterial blood gas test, Aspartate transaminase, Aspirin, Astrocyte, Atelectasis, Autoimmunity, Benzodiazepine, Bilirubin, Biosynthesis, Bleeding, Blood sugar level, Blood urea nitrogen, Brain herniation, Cardiac output, Cerebral edema, Ceruloplasmin, Chemotaxis, Chickenpox, Clichy criteria, Coagulation, Coagulopathy, Coma, Complete blood count, Creatinine, CT scan, Disease, Disseminated intravascular coagulation, Dura mater, Encephalopathy, Fibrinolysis, Gamma-glutamyltransferase, ..., Glycogen, Gram-positive bacteria, Halothane, HBsAg, Hepatic encephalopathy, Hepatitis A, Hepatitis B, Hepatitis B virus, Hepatitis C, Hepatitis E, Hepatorenal syndrome, HIV, Hyperdynamic circulation, Hypoglycemia, Hypokalemia, Hyponatremia, Hypophosphatemia, Hypotension, Hypoxemia, Hypoxia (medical), Insulin, Intensive care medicine, Intracellular, Intracranial hemorrhage, Intracranial pressure, Jaundice, Jugular vein, Kidney failure, King's College Criteria, Lactic acid, Lactic acidosis, Lipase, Liver, Liver biopsy, Liver kidney microsomal type 1 antibody, Lobules of liver, Lung, Marburg virus, Metabolic alkalosis, Model for End-Stage Liver Disease, Multiple organ dysfunction syndrome, Mushroom poisoning, Na+/K+-ATPase, Necrosis, Neurotransmitter, Neurotransmitter receptor, Opsonin, Organ transplantation, Oxidative stress, Oxygen, Papilledema, Paracetamol, Paracetamol poisoning, Parenchyma, Pathogenesis, Platelet, Pleural effusion, Portal triad, Pregnancy test, Protein, Prothrombin time, Pupil, Reye syndrome, Sensorium, Sepsis, Serotonin, Serum albumin, Systemic inflammatory response syndrome, Tetracycline, Thiol, Thrombocytopenia, Tissue (biology), Toxication, Troglitazone, Tryptophan, Vascular resistance, Vasodilation, Viral hepatitis, Wilson's disease, Yellow fever. Expand index (80 more) »

Acetylcysteine

Acetylcysteine, also known as N-acetylcysteine (NAC), is a medication that is used to treat paracetamol (acetaminophen) overdose, and to loosen thick mucus in individuals with cystic fibrosis or chronic obstructive pulmonary disease.

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Acute fatty liver of pregnancy

Acute fatty liver of pregnancy is a rare life-threatening complication of pregnancy that occurs in the third trimester or the immediate period after delivery.

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Acute respiratory distress syndrome

Acute respiratory distress syndrome (ARDS) is a medical condition occurring in critically ill or critically wounded patients characterized by widespread inflammation in the lungs.

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Acute tubular necrosis

Acute tubular necrosis (ATN) is a medical condition involving the death of tubular epithelial cells that form the renal tubules of the kidneys.

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Adrenal insufficiency

Adrenal insufficiency is a condition in which the adrenal glands do not produce adequate amounts of steroid hormones, primarily cortisol; but may also include impaired production of aldosterone (a mineralocorticoid), which regulates sodium conservation, potassium secretion, and water retention.

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Alanine transaminase

Alanine transaminase (ALT) is a transaminase enzyme.

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Albumin

The albumins (formed from Latin: albumen "(egg) white; dried egg white") are a family of globular proteins, the most common of which are the serum albumins.

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Alcoholic drink

An alcoholic drink (or alcoholic beverage) is a drink that contains ethanol, a type of alcohol produced by fermentation of grains, fruits, or other sources of sugar.

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Alcoholic hepatitis

Alcoholic hepatitis is hepatitis (inflammation of the liver) due to excessive intake of alcohol.

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Alkaline phosphatase

Alkaline phosphatase (ALP, ALKP, ALPase, Alk Phos) or basic phosphatase is a homodimeric protein enzyme of 86 kilodaltons.

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Amanita phalloides

Amanita phalloides, commonly known as the death cap, is a deadly poisonous basidiomycete fungus, one of many in the genus Amanita.

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Amatoxin

Amatoxin is the collective name of a subgroup of at least eight related toxic compounds found in several genera of poisonous mushrooms, most notably the death cap (Amanita phalloides) and several other members of the genus Amanita, as well as some Conocybe, Galerina and Lepiota mushroom species.

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Ammonia

Ammonia is a compound of nitrogen and hydrogen with the formula NH3.

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Amylase

An amylase is an enzyme that catalyses the hydrolysis of starch into sugars.

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Anaerobic glycolysis

Anaerobic glycolysis is the transformation of glucose to lactate when limited amounts of oxygen (O2) are available.

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Anti-nuclear antibody

Antinuclear antibodies (ANAs, also known as antinuclear factor or ANF) are autoantibodies that bind to contents of the cell nucleus.

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Anti-smooth muscle antibody

Anti-smooth muscle antibodies are antibodies (immunoglobulins) formed against smooth muscle.

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Antibody

An antibody (Ab), also known as an immunoglobulin (Ig), is a large, Y-shaped protein produced mainly by plasma cells that is used by the immune system to neutralize pathogens such as pathogenic bacteria and viruses.

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APACHE II

APACHE II ("Acute Physiology And Chronic Health Evaluation II") is a severity-of-disease classification system (Knaus et al., 1985), one of several ICU scoring systems.

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Arterial blood gas test

An arterial-blood gas (ABG) test measures the amounts of arterial gases, such as oxygen and carbon dioxide.

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Aspartate transaminase

Aspartate transaminase (AST) or aspartate aminotransferase, also known as AspAT/ASAT/AAT or serum glutamic oxaloacetic transaminase (SGOT), is a pyridoxal phosphate (PLP)-dependent transaminase enzyme that was first described by Arthur Karmen and colleagues in 1954.

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Aspirin

Aspirin, also known as acetylsalicylic acid (ASA), is a medication used to treat pain, fever, or inflammation.

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Astrocyte

Astrocytes (Astro from Greek astron.

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Atelectasis

Atelectasis is the collapse or closure of a lung resulting in reduced or absent gas exchange.

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Autoimmunity

Autoimmunity is the system of immune responses of an organism against its own healthy cells and tissues.

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Benzodiazepine

Benzodiazepines (BZD, BZs), sometimes called "benzos", are a class of psychoactive drugs whose core chemical structure is the fusion of a benzene ring and a diazepine ring.

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Bilirubin

Bilirubin is a yellow compound that occurs in the normal catabolic pathway that breaks down heme in vertebrates.

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Biosynthesis

Biosynthesis (also called anabolism) is a multi-step, enzyme-catalyzed process where substrates are converted into more complex products in living organisms.

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Bleeding

Bleeding, also known as hemorrhaging or haemorrhaging, is blood escaping from the circulatory system.

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Blood sugar level

The blood sugar level, blood sugar concentration, or blood glucose level is the amount of glucose present in the blood of humans and other animals.

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Blood urea nitrogen

Blood urea nitrogen (BUN) is a medical test that measures the amount of urea nitrogen found in blood.

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Brain herniation

Brain herniation is a potentially deadly side effect of very high pressure within the skull that occurs when a part of the brain is squeezed across structures within the skull.

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Cardiac output

Cardiac output (CO, also denoted by the symbols Q and \dot Q_), is a term used in cardiac physiology that describes the volume of blood being pumped by the heart, in particular by the left or right ventricle, per unit time.

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Cerebral edema

Cerebral edema is excess accumulation of fluid in the intracellular or extracellular spaces of the brain.

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Ceruloplasmin

Ceruloplasmin (or caeruloplasmin) is a ferroxidase enzyme that in humans is encoded by the CP gene.

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Chemotaxis

Chemotaxis (from chemo- + taxis) is the movement of an organism in response to a chemical stimulus.

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Chickenpox

Chickenpox, also known as varicella, is a highly contagious disease caused by the initial infection with varicella zoster virus (VZV).

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Clichy criteria

The Clichy criteria are a group of criteria proposed in termining the survival of individuals with acute liver failure.

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Coagulation

Coagulation (also known as clotting) is the process by which blood changes from a liquid to a gel, forming a blood clot.

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Coagulopathy

A bleeding disorder (coagulopathy) is a condition that affects the way the blood clots.

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Coma

Coma is a state of unconsciousness in which a person cannot be awaken; fails to respond normally to painful stimuli, light, or sound; lacks a normal wake-sleep cycle; and does not initiate voluntary actions.

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Complete blood count

A complete blood count (CBC), also known as a complete blood cell count, full blood count (FBC), or full blood exam (FBE), is a blood panel requested by a doctor or other medical professional that gives information about the cells in a patient's blood, such as the cell count for each cell type and the concentrations of various proteins and minerals.

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Creatinine

Creatinine (or; from flesh) is a breakdown product of creatine phosphate in muscle, and is usually produced at a fairly constant rate by the body (depending on muscle mass).

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CT scan

A CT scan, also known as computed tomography scan, makes use of computer-processed combinations of many X-ray measurements taken from different angles to produce cross-sectional (tomographic) images (virtual "slices") of specific areas of a scanned object, allowing the user to see inside the object without cutting.

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Disease

A disease is any condition which results in the disorder of a structure or function in an organism that is not due to any external injury.

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Disseminated intravascular coagulation

Disseminated intravascular coagulation (DIC) is a condition in which blood clots form throughout the body, blocking small blood vessels.

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Dura mater

Dura mater, or dura, is a thick membrane made of dense irregular connective tissue that surrounds the brain and spinal cord.

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Encephalopathy

Encephalopathy (from ἐγκέφαλος "brain" + πάθος "suffering") means any disorder or disease of the brain, especially chronic degenerative conditions.

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Fibrinolysis

Fibrinolysis is a process that prevents blood clots from growing and becoming problematic.

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Gamma-glutamyltransferase

Gamma-glutamyltransferase (also γ-glutamyltransferase, GGT, gamma-GT) is a transferase (a type of enzyme) that catalyzes the transfer of gamma-glutamyl functional groups from molecules such as glutathione to an acceptor that may be an amino acid, a peptide or water (forming glutamate).

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Glycogen

Glycogen is a multibranched polysaccharide of glucose that serves as a form of energy storage in humans, animals, fungi, and bacteria.

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Gram-positive bacteria

Gram-positive bacteria are bacteria that give a positive result in the Gram stain test, which is traditionally used to quickly classify bacteria into two broad categories according to their cell wall.

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Halothane

Halothane, sold under the brandname Fluothane among others, is a general anesthetic.

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HBsAg

HBsAg (also known as the Australia antigen) is the surface antigen of the hepatitis B virus (HBV).

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Hepatic encephalopathy

Hepatic encephalopathy (HE) is an altered level of consciousness as a result of liver failure.

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Hepatitis A

Hepatitis A is an infectious disease of the liver caused by the hepatitis A virus (HAV).

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Hepatitis B

Hepatitis B is an infectious disease caused by the hepatitis B virus (HBV) that affects the liver.

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Hepatitis B virus

Hepatitis B virus, abbreviated HBV, is a double stranded DNA virus, a species of the genus Orthohepadnavirus, and a member of the Hepadnaviridae family of viruses.

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Hepatitis C

Hepatitis C is an infectious disease caused by the hepatitis C virus (HCV) that primarily affects the liver.

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Hepatitis E

Hepatitis E is a viral hepatitis (liver inflammation) caused by infection with a virus called hepatitis E virus.

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Hepatorenal syndrome

Hepatorenal syndrome (often abbreviated HRS) is a life-threatening medical condition that consists of rapid deterioration in kidney function in individuals with cirrhosis or fulminant liver failure.

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HIV

The human immunodeficiency virus (HIV) is a lentivirus (a subgroup of retrovirus) that causes HIV infection and over time acquired immunodeficiency syndrome (AIDS).

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Hyperdynamic circulation

Hyperdynamic circulation is abnormally increased circulatory volume.

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Hypoglycemia

Hypoglycemia, also known as low blood sugar, is when blood sugar decreases to below normal levels.

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Hypokalemia

Hypokalemia, also spelled hypokalaemia, is a low level of potassium (K+) in the blood serum.

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Hyponatremia

Hyponatremia is a low sodium level in the blood.

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Hypophosphatemia

Hypophosphatemia is an electrolyte disturbance in which there is an abnormally low level of phosphate in the blood.

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Hypotension

Hypotension is low blood pressure, especially in the arteries of the systemic circulation.

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Hypoxemia

Hypoxemia (or hypoxaemia in British English) is an abnormally low level of oxygen in the blood.

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Hypoxia (medical)

Hypoxia is a condition in which the body or a region of the body is deprived of adequate oxygen supply at the tissue level.

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Insulin

Insulin (from Latin insula, island) is a peptide hormone produced by beta cells of the pancreatic islets; it is considered to be the main anabolic hormone of the body.

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Intensive care medicine

Intensive care medicine, or critical care medicine, is a branch of medicine concerned with the diagnosis and management of life-threatening conditions that may require sophisticated life support and monitoring.

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Intracellular

In cell biology, molecular biology and related fields, the word intracellular means "inside the cell".

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Intracranial hemorrhage

Intracranial hemorrhage (ICH), also known as intracranial bleed, is bleeding within the skull.

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Intracranial pressure

Intracranial pressure (ICP) is the pressure inside the skull and thus in the brain tissue and cerebrospinal fluid (CSF).

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Jaundice

Jaundice, also known as icterus, is a yellowish or greenish pigmentation of the skin and whites of the eyes due to high bilirubin levels.

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Jugular vein

The jugular veins are veins that take deoxygenated blood from the head back to the heart via the superior vena cava.

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Kidney failure

Kidney failure, also known as end-stage kidney disease, is a medical condition in which the kidneys no longer work.

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King's College Criteria

The King's College Criteria or the King's College Hospital criteria were devised in 1989 to determine if there were any early indices of poor prognosis in patients with acute liver failure.

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Lactic acid

Lactic acid is an organic compound with the formula CH3CH(OH)COOH.

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Lactic acidosis

Lactic acidosis is a medical condition characterized by the buildup of lactate (especially L-lactate) in the body, which results in an excessively low pH in the bloodstream.

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Lipase

A lipase is any enzyme that catalyzes the hydrolysis of fats (lipids).

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Liver

The liver, an organ only found in vertebrates, detoxifies various metabolites, synthesizes proteins, and produces biochemicals necessary for digestion.

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Liver biopsy

Liver biopsy is the biopsy (removal of a small sample of tissue) from the liver.

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Liver kidney microsomal type 1 antibody

Liver kidney microsomal type 1 antibody is an autoantibody associated with autoimmune hepatitis.

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Lobules of liver

A hepatic lobule is a small division of the liver defined at the microscopic (histological scale).

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Lung

The lungs are the primary organs of the respiratory system in humans and many other animals including a few fish and some snails.

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Marburg virus

Marburg virus is a hemorrhagic fever virus of the Filoviridae family of viruses and a member of the species Marburg marburgvirus, genus Marburgvirus.

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Metabolic alkalosis

Metabolic alkalosis is a metabolic condition in which the pH of tissue is elevated beyond the normal range (7.35–7.45).

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Model for End-Stage Liver Disease

The Model for End-Stage Liver Disease, or MELD, is a scoring system for assessing the severity of chronic liver disease.

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Multiple organ dysfunction syndrome

Multiple organ dysfunction syndrome (MODS), also known as multiple organ failure (MOF), total organ failure (TOF) or multisystem organ failure (MSOF), is altered organ function in an acutely ill patient requiring medical intervention to achieve homeostasis.

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Mushroom poisoning

Mushroom poisoning (also known as mycetism or mycetismus) refers to harmful effects from ingestion of toxic substances present in a mushroom.

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Na+/K+-ATPase

-ATPase (sodium-potassium adenosine triphosphatase, also known as the pump or sodium–potassium pump) is an enzyme (an electrogenic transmembrane ATPase) found in the plasma membrane of all animal cells.

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Necrosis

Necrosis (from the Greek νέκρωσις "death, the stage of dying, the act of killing" from νεκρός "dead") is a form of cell injury which results in the premature death of cells in living tissue by autolysis.

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Neurotransmitter

Neurotransmitters are endogenous chemicals that enable neurotransmission.

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Neurotransmitter receptor

A neurotransmitter receptor (also known as a neuroreceptor) is a membrane receptor protein that is activated by a neurotransmitter.

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Opsonin

An opsonin (from the Greek opsōneîn, to prepare for eating) is any molecule that enhances phagocytosis by marking an antigen for an immune response or marking dead cells for recycling (i.e., causes the phagocyte to "relish" the marked cell).

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Organ transplantation

Organ transplantation is a medical procedure in which an organ is removed from one body and placed in the body of a recipient, to replace a damaged or missing organ.

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Oxidative stress

Oxidative stress reflects an imbalance between the systemic manifestation of reactive oxygen species and a biological system's ability to readily detoxify the reactive intermediates or to repair the resulting damage.

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Oxygen

Oxygen is a chemical element with symbol O and atomic number 8.

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Papilledema

Papilledema (or papilloedema) is optic disc swelling that is caused by increased intracranial pressure due to any cause.

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Paracetamol

--> Acetanilide was the first aniline derivative serendipitously found to possess analgesic as well as antipyretic properties, and was quickly introduced into medical practice under the name of Antifebrin by A. Cahn and P. Hepp in 1886. But its unacceptable toxic effects, the most alarming being cyanosis due to methemoglobinemia, prompted the search for less toxic aniline derivatives. Harmon Northrop Morse had already synthesised paracetamol at Johns Hopkins University via the reduction of ''p''-nitrophenol with tin in glacial acetic acid in 1877, but it was not until 1887 that clinical pharmacologist Joseph von Mering tried paracetamol on humans. In 1893, von Mering published a paper reporting on the clinical results of paracetamol with phenacetin, another aniline derivative. Von Mering claimed that, unlike phenacetin, paracetamol had a slight tendency to produce methemoglobinemia. Paracetamol was then quickly discarded in favor of phenacetin. The sales of phenacetin established Bayer as a leading pharmaceutical company. Overshadowed in part by aspirin, introduced into medicine by Heinrich Dreser in 1899, phenacetin was popular for many decades, particularly in widely advertised over-the-counter "headache mixtures", usually containing phenacetin, an aminopyrine derivative of aspirin, caffeine, and sometimes a barbiturate. Paracetamol is the active metabolite of phenacetin and acetanilide, both once popular as analgesics and antipyretics in their own right. However, unlike phenacetin, acetanilide and their combinations, paracetamol is not considered carcinogenic at therapeutic doses. Von Mering's claims remained essentially unchallenged for half a century, until two teams of researchers from the United States analyzed the metabolism of acetanilide and paracetamol. In 1947 David Lester and Leon Greenberg found strong evidence that paracetamol was a major metabolite of acetanilide in human blood, and in a subsequent study they reported that large doses of paracetamol given to albino rats did not cause methemoglobinemia. In three papers published in the September 1948 issue of the Journal of Pharmacology and Experimental Therapeutics, Bernard Brodie, Julius Axelrod and Frederick Flinn confirmed using more specific methods that paracetamol was the major metabolite of acetanilide in human blood, and established that it was just as efficacious an analgesic as its precursor. They also suggested that methemoglobinemia is produced in humans mainly by another metabolite, phenylhydroxylamine. A follow-up paper by Brodie and Axelrod in 1949 established that phenacetin was also metabolised to paracetamol. This led to a "rediscovery" of paracetamol. It has been suggested that contamination of paracetamol with 4-aminophenol, the substance von Mering synthesised it from, may be the cause for his spurious findings. Paracetamol was first marketed in the United States in 1950 under the name Triagesic, a combination of paracetamol, aspirin, and caffeine. Reports in 1951 of three users stricken with the blood disease agranulocytosis led to its removal from the marketplace, and it took several years until it became clear that the disease was unconnected. Paracetamol was marketed in 1953 by Sterling-Winthrop Co. as Panadol, available only by prescription, and promoted as preferable to aspirin since it was safe for children and people with ulcers. In 1955, paracetamol was marketed as Children's Tylenol Elixir by McNeil Laboratories. In 1956, 500 mg tablets of paracetamol went on sale in the United Kingdom under the trade name Panadol, produced by Frederick Stearns & Co, a subsidiary of Sterling Drug Inc. In 1963, paracetamol was added to the British Pharmacopoeia, and has gained popularity since then as an analgesic agent with few side-effects and little interaction with other pharmaceutical agents. Concerns about paracetamol's safety delayed its widespread acceptance until the 1970s, but in the 1980s paracetamol sales exceeded those of aspirin in many countries, including the United Kingdom. This was accompanied by the commercial demise of phenacetin, blamed as the cause of analgesic nephropathy and hematological toxicity. In 1988 Sterling Winthrop was acquired by Eastman Kodak which sold the over the counter drug rights to SmithKline Beecham in 1994. Available without a prescription since 1959, it has since become a common household drug. Patents on paracetamol have long expired, and generic versions of the drug are widely available.

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Paracetamol poisoning

Paracetamol poisoning, also known as acetaminophen poisoning, is caused by excessive use of the medication paracetamol (acetaminophen).

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Parenchyma

Parenchyma is the bulk of a substance.

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Pathogenesis

The pathogenesis of a disease is the biological mechanism (or mechanisms) that leads to the diseased state.

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Platelet

Platelets, also called thrombocytes (from Greek θρόμβος, "clot" and κύτος, "cell"), are a component of blood whose function (along with the coagulation factors) is to react to bleeding from blood vessel injury by clumping, thereby initiating a blood clot.

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Pleural effusion

A pleural effusion is excess fluid that accumulates in the pleural cavity, the fluid-filled space that surrounds the lungs.

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Portal triad

A portal triad (also known as portal canal, portal field, portal area, or portal tract) is a distinctive arrangement in the liver.

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Pregnancy test

A pregnancy test attempts to determine whether or not a woman is pregnant.

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Protein

Proteins are large biomolecules, or macromolecules, consisting of one or more long chains of amino acid residues.

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Prothrombin time

The prothrombin time (PT)—along with its derived measures of prothrombin ratio (PR) and international normalized ratio (INR)—are assays evaluating the extrinsic pathway of coagulation.

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Pupil

The pupil is a hole located in the center of the iris of the eye that allows light to strike the retina.

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Reye syndrome

Reye syndrome is a rapidly progressive encephalopathy.

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Sensorium

A sensorium (/sɛnˈsɔːrɪəm/) (plural: sensoria) is the sum of an organism's perception, the "seat of sensation" where it experiences and interprets the environments within which it lives.

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Sepsis

Sepsis is a life-threatening condition that arises when the body's response to infection causes injury to its own tissues and organs.

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Serotonin

Serotonin or 5-hydroxytryptamine (5-HT) is a monoamine neurotransmitter.

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Serum albumin

Serum albumin, often referred to simply as blood albumin, is an albumin (a type of globular protein) found in vertebrate blood.

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Systemic inflammatory response syndrome

Systemic inflammatory response syndrome (SIRS) is an inflammatory state affecting the whole body.

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Tetracycline

Tetracycline, sold under the brand name Sumycin among others, is an antibiotic used to treat a number of infections.

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Thiol

Thiol is an organosulfur compound that contains a carbon-bonded sulfhydryl (R–SH) group (where R represents an alkyl or other organic substituent).

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Thrombocytopenia

Thrombocytopenia is a condition characterized by abnormally low levels of thrombocytes, also known as platelets, in the blood.

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Tissue (biology)

In biology, tissue is a cellular organizational level between cells and a complete organ.

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Toxication

Toxication or toxification is the conversion of a chemical compound into a more toxic form in living organisms or in substrates such as soil or water.

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Troglitazone

Troglitazone (Rezulin, Resulin, Romozin, Noscal) is an antidiabetic and anti-inflammatory drug, and a member of the drug class of the thiazolidinediones.

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Tryptophan

Tryptophan (symbol Trp or W) is an α-amino acid that is used in the biosynthesis of proteins.

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Vascular resistance

Vascular resistance is the resistance that must be overcome to push blood through the circulatory system and create flow.

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Vasodilation

Vasodilation is the widening of blood vessels.

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Viral hepatitis

Viral hepatitis is liver inflammation due to a viral infection.

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Wilson's disease

Wilson's disease is a genetic disorder in which copper builds up in the body.

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Yellow fever

Yellow fever is a viral disease of typically short duration.

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Redirects here:

Acute hepatic failure, Acute liver disease, Acute liver necrosis, Fulminant hepatic failure, Fulminant liver failure.

References

[1] https://en.wikipedia.org/wiki/Acute_liver_failure

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