Wilson's Disease: Differential Diagnoses (Nursing)

00:00 Okay, I see those angry looks out there.

00:03 I know what you're thinking, we just talked about those lists and how they're difficult to remember.

00:08 I agree.

00:09 That's why you're here with Lecturio, because we're going to show you how it works the best.

00:13 So this is what we're going to start with, think of this as our canvas, okay? These are the accompanying diagnosis that you'll see with Wilson's disease.

00:23 Stop trying to memorize all those, we're going to show you how to chunk this information.

00:28 Now sometimes with Wilson's Disease accompanying being diagnosis means you'll have more than one, so you could have Wilson's disease and they might experience liver failure with coombs-negative hemolytic anemia.

00:43 Okay, that's just a special test that we do to see the type of anemia, low red blood cells, hemolytic means, those red blood cells have been blown up.

00:54 Now I want to talk a little bit about hemolysis, that's lysis of those red blood cells.

00:59 Now the patient may have it, with Wilson's disease and then might have it with or without acute liver failure.

01:07 So it could happen with the liver failure, It can happen outside of the liver failure and the patient may tell you they have a history of jaundice.

01:15 So those are the types of questions you want to ask when you're admitting them and talking with them.

01:20 Now we've got the liver failure with that hemolytic anemia.

01:24 So it's going to be really important that you take a look at their lab work.

01:27 Now they might have inflammation of the liver.

01:31 What words on their would describe inflammation of the liver? You got it, acute hepatitis and chronic hepatitis.

01:40 So make sure you circle those write yourself a note inflammation of the liver.

01:45 Now inflammation over a period of time leads to what? Right, damage to those cells.

01:52 So we've got like things like steatosis up there and cirrhosis, as you know I like to say, so those are just saying inflammation and to damage those are the terms that we want you to recognize as inflammation, hepatitis, acute or chronic and damage, cirrhosis or cirrhosis as you're supposed to say it, steatosis, get all those fatty things building up in your liver that can be a real problem.

02:20 Now the bottom one, that's just a real general term asymptomatic liver abnormalities.

02:26 So we've got some actual changes on that right-hand side, changes in the liver structure.

02:32 That's the title. I'd put over that because cirrhosis is scarred and damaged liver, right, that's scarred and damaged liver tissue.

02:41 Steatosis is you've got fat building up there and you're going to head to cirrhosis and then we've got some just liver abnormalities.

02:49 They don't show symptoms yet, but the liver itself is actually being changed.

02:54 So you've got inflammation that leads to structural changes in the liver.