Hepatobiliary Disease

Question 1

Name 4 liver lobes and their parts

Answer 1

Left (lateral/medial)
Right (lateral/medial)
Quadrate
Caudate (papillary and caudate process)

Question 2

Explain the blood supply of the liver and biliary systen

Question 3

Name 3 categories of hepatic disease process results in HE and subcategories

Answer 3

A (acute liver failure)
B (portosystemic bypass with no instrinsic hepatocellular disease - most common)
C (cirrhosis and portal hypertension or portosystemic shunt; episodic/persistent/minimal; precipitated/spontaneous/recurrent/mild/severe; intrinsic hepatocellular disease leading to portal hypertension and pss)

Question 4

West haven grading scale for HE

Answer 4

0 asymptomatic
I mild decrease in mobility, apathy or both
II severe apathy, mild ataxia
III combination of hypersalivation, severe ataxia, head pressing, blindness, circling
IV stupor/coma, seizures

Question 5

Name all HE factors and explain

Question 6

Which are the 2 ways NH3 is produced

Answer 6

Enterocyte metabolism
Intestinal microbime