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ABDOMEN ARDMS > LIVER > Flashcards

LIVER Flashcards

(73 cards)

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1
Q

FUNCTIONS: -BILE
-METABOLISM OF FATS,PROTIEN,CARBS
-STORAGE OF GLYCOGEN,VITAMINS,MINERALS
-BLOOD DETOX
-SYNTHESIS OF PLASMA PROTEINS (ALBUMIN)

A

LIVER

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2
Q

RIGHT AND LEFT LOBES DIVIDES BY PLANE BETWEEN THE ____ AND ____

A

GB AND IVC

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3
Q

BLOOD SUPPLY
RT LOBE=
LT LOBE=
CAUDATE=

A

RPV
LPV
BOTH PV

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4
Q

CAUDATE LOBE LIES ON THE POST-SUP SURFACE BETWEEN THE ____ AND ______ ____ ______

A

IVC AND MEDIAL LEFT LOBE

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5
Q

IVC ENLARGMENT=

A

CAUDATE COMPRESSED

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6
Q

HEPATIC VEINS COURSE BETWEEN LOBES OF _________

A

SEGMENTS

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7
Q

THE PORTAL TRIAD ENCASED BY ______ ______ GIVING HYPERECHOIC WALLS

A

GLISSONS CAPSULE

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8
Q

MAIN LOBAR FISSURE DIVIDES _____&_______ LOBES BY IVC AND GB FOSSA

A

RIGHT AND LEFT

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9
Q

RT LOBE DIVIDES INTO ____&_____ SEGMENTS

A

ANTERIOR AND POSTERIOR

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10
Q

LT LOBE DIVIDES INTO ______&_______SEGMENTS

A

MEDIAL AND LATERAL

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11
Q

-REMANENT OF DUCTUS VENOSUM
-SEPARATES LT LOBE FROM CAUDATE

A

LIGAMENTUM VENOSUM

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12
Q

-REMANENT OF UMB V

A

LIGAMENTUM TERES

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13
Q

IN PORTAL HYPERTENSION LIGAMENTEM ______ RECANALIZES TO FORM COLLATERALS

A

TERES

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14
Q

______ IS A DIFFUSE PROCESS OF FIBROSIS AND DISTORTION OF THE NORMAL LIVER.

A

CIRRHOSIS

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15
Q

MOST COMMON CAUSE OF CIRRHOSIS

A

HEP C

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16
Q

CIRRHOSIS IS THE MAJOR CAUSE OF _____ ________

A

PORTAL HYPERTENSION

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17
Q

INCREASED LIVER FUNCTIONS IN CIRRHOSIS ARE

A

AST(SGOT),GGT, ALT(SGPT), LDH,CONJUGATED BILIRUBIN

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18
Q

RT SIDED HEART FAILURE=

A

IVC ENLARGEMENT

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19
Q

-PTS PRESENT WITH UPPER GI BLEED FROM ESOPHAGEAL VARICES RUPTURING THAT EXTEND FROM THE RT AND LT GASTRIC (CORONARY V)

A

PORTAL HYPERTENSION

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19
Q

TORTOUS COLLATERALS AROUND UMBILICUS

A

CAPUT MEDUSA

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20
Q

-PLACED TO LOWER PV PRESSURE AND AVOID RUPTURE OF VARICES AND DECREASE ASCITES

A

TIPS

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21
Q

TIPS IS PLACED BETWEEN A _______ AND ______

A

HEPATIC V AND PORTAL V (TYPICALLY THE RHV AND RPV)

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22
Q

INDICATIONS FOR LIVER TX
ADULTS= IRREVERSABLE _______
CHILDREN= _______ ______

A

CIRRHOSIS
BILIARY ATRESIA

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23
Q

TUMORAL CAUSES OF PV THROMBOSIS

A

HCC,METS,PANCREATIC CARCINOMA

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24
NONTUMORAL CAUSES OF PV THROMBOSIS
CIRRHOSIS, PANCREATITIS, IBS, TRAUMA, PORTAL LYMPHADENOPATHY
25
MULTIPLE WORM LIKE COLLATERALS PARALLEL TO PV
CAVERNOUS TRANSFORMATION
26
OBSTRUCTED HEPATIC V AND POSSIBLY IVC -CAUDATE LOBE IS SPARED BECAUSE OF EMISSARY V,LOBE ENLARGES WITH ATROPHY OF RT AND LT LOBES
BUDD CHAIRI
27
IN INFANTS, INTRAHEPATIC PV GAS IS DUE TO ________ _________
NECROTIZING ENTERCOLITIS
28
A HEMORRHAGIC CYST WILL APPER WITH RUQ PAIN,INTERNAL ECHOES, AND _________ HEMATOCRIT
DECREASING
29
MOST COMMON BENIGN TUMOR OF THE LIVER -HYPERCHOIC,POSTERIOR ENHANCEMENT -MAY APPEAR AS HYPOCHOIC IF LIVER IS FATTY -MAY ENLARGE WITH PREGNANCY OR ESTROGEN ADMINISTRATION
CAVERNOUS HEMANGIOMA
30
-ACCUMULATION OF TRYGLYCERIDES WITHIN HEPATOCYTES -OBESITY -INCREASED ECHOGENICITY
FATTY INFILTRATION (STEATOSIS)
31
FOCAL REGIONS WITH INCREASED ECHOGENECITY COMMONLY OCCURRING AT PORTA HEPATIS
FOCAL FATTY INFILTRATION
32
FOCAL REGIONS OF NORMAL LIVER PARENCHYMA WITHIN FATTY LIVER -COMMONLY FOUND ADJACENT TO GB, PORTA HEPATIS, CAUDATE LOBE
FOCAL FATTY SPARING
33
-GENETIC DISORDER,CANT BREAK DOWN GLYCOGEN -ASSOCIATED WITH FATTY INFILTRATION AND HEPATIC ADENOMAS
GLYCOGEN STORAGE DISEASE
34
**** COPPER DEPOSITION IN LIVER****
WILSON DISEASE****
35
IRON DEPOSITION IN LIVER
HEMATOCHROMATOSIS
36
_____ ___ IS THE NATIONS LEADING CAUSE OF BOTH CHRONIC HEPATITIS AND CIRRHOSIS
HEP C
37
MICRONODULAR CIRRHOSIS (<1CM) IS ASSOCIATED WITH ______
ALCOHOLISM
38
MACRONODULAR CIRRHOSIS (1-5CM) IS ASSOCIATED WITH ______
CHRONIC VIRAL HEPATITIS
39
-MOST COMMON PARASITIC INFECTION IN HUMANS -MAJOR CAUSE OF PORTAL HYPERTENSION WORLDWIDE -PERIPORTAL FIBROSIS -OCCLUDED PV -NOT COMMON IN US
SCHISTOMIASIS
40
(ON TEST WIL SAY PT IS A SHEPARD) -TAPEWORMS -RAW PORK -WATER LILY SIGN OR CYST WITHIN CYST -CASONI TEST
ECHINOCOCAL CYST (HYDATID CYST)
41
-FUNGAL INFECTION OF BLOOD THAT RESULTS IN SMALL ABCESSES IN LIVER -TARGET SIGN, BULLS EYE,WHELL WITHIN WHEEL,UNIFORMLY HYPOECHOIC FOCUS, ECHOGENIC FOCUS -LESS THAN 10% CASES
CANDIDIASIS (FUNGAL ABSCESS)
42
-DUE TO ENTRAMOEBA HISTOLYTICA (10% OF CASES) -OCCURS EXCLUSIVELY IN TRAVERLERS -RUQ PAIN,FEVER, INCREASED LIVER TESTS, DIARRHEA, LEUKOCYTOSIS -ROUND HYPOECHOIC/COMPLEX MASS TYPICALLY IN RT LOBE
AMEBIC ABSCESS
43
DIFF OF AMEBIC VS PYOGENIC IS DIFFICULT. IF PT HAS TRAVELLED=
AMEBIC
44
#1 ORGANISM CAUSING AIDS
PNEUMOCYSTIS CARINNI
45
MOST COMMON ASSOCIATED WITH HIV -POOR NATIONS
TUBERCULOSIS
46
HERPES TRANSMITTED IN BODY FLUIDS
CYTOMEGALOVIRUS
47
SPREAD BY CATS BY STOOLS
TOXOPLASMOSIS
48
COMMON EARLY SIGN IS NECK,ARMPIT,GROIN SWELLING
LYMPHOMAS
49
TUMOR OF THE BLOOD VESSEL WALLS
KAPOSIS SARCOMA
50
INTESTINE PARASITES
CRYPTOSPORDIOSIS
51
FETAL CIRCULATION
UMB V > LPV > DUCTUS VENOSUS > IVC
52
HEPATIC BLOOD FLOW IS ___% PV AND ____% PHA
75 AND 25
53
___ MM IS THE UPPER LIMITS OF THE PV DIAMETER
13
54
PHA RUNS PARALLEL TO THE
MPV
55
HEPATOMEGALY IS LIVER MEASURING > ____CM SUP-INF DIMENSION
15.5
56
______ LOBE IS A N INFERIOR PROJECTION ON THE RT LOBE WHICH IS SEEN IN WOMEN
RIEDELS
57
-COLLECTION OF MACROPHAGES (FOCI) -CAUSED BY HISTOPLASMOSIS OR TUBERCULOSIS INFECTION
GRANULOMAS
58
THE ____ MAY ORIGINATE (REPLACED) FROM THE SMA. IF REPLACED RHA IS SEEN POST TO THE HEAD OF THE ______ AND MPV
RHA PANCREAS
59
-LIVER INFLAMMATION RESULTING FROM INFECTIOUS OR NONINFECTIOUS AGENTS -ELEVATED ALT, AST, CONJUGATED AND UNCONJUGATED BILIRUBIN
HEPATITIS
60
HEP A IS ACQUIRED
FECAL/ORAL
61
HEP B AND C IS ACQUIRED
BLOOD/BODILY FLUIDS
62
-LIVER ENLARGEMENT -"STARRY NIGHT" (PERIPORTAL CUFFING) -HYPERECHOIC PV WALLS
ACUTE HEPATITIS
63
-HYPERECHOIC LIVER -SMALL LIVER -DECREASED ECHOGENICITY OF PV WALL
CHRONIC HEPATITIS
64
BILIARY TRACT DISEASE IS THE MOST COMMON SOURCE OF _____ LIVER ABSCESS -RT LOBE MORE COMMONLY EFFECTED -COMPLEX MASS, GAS, REVERB. ARTIFACT -S/S: RUQ PAIN, LEUKOCYTOSIS, FEVER AND ELEVATED LIVER TESTS -80% OF HEPATIC ABSCESSES IN US
PYOGENIC
65
-BENIGN SOLID LIVER MASS -CENTRAL FIBROUS SCAR (HALLMARK SIGN) -"STEALTH LESION" -CENTRIFUGAL LESION
FOCAL NODULAR HYPERPLASIA
66
-CHILDBEARING AGE -ORAL CONTRACEPTIVE PILLS AND OTHER ESTROGENS -ASSOCIATED WITH GSD -PT MAY PRESNT WITH PAIN D/T TUMOR HEMORRAGE -CENTRIPETAL ENHANCEMENT
HEPATIC ADENOMAS
67
-HYPERECHOIC MASS -PROP. SPEED ARTIFACT
HEPATIC LIPOMA
68
-MOST COMMON PRIMARY** MALIGNANCY -ELEVATED AFP -SINGLE MASS LESION OR DIFFUSE MAKES IT HARD TO DIFFERENTIATE
HCC
69
*** LIVER _____ IS THE MOST COMMON LIVER MALIGNANCY WHILE ____ IS THE MOST COMMON PRIMARY*** LIVER MALIGNANCY
METS AND HCC
70
MALIGNAT LIVER NEOPLASM OCCURING IN INFANTS AND CHILDREN
HEPATOBLASTOMAS
71
PT(INR), PTT AND PLATLETS ARE MONITORED PRIOR TO AN INVASIVE PROCEDURE TO INSURE PROPER ______
CLOTTING
72
METS; HYPER= GI TRACT HYPO= LYMPHOMA BULLS EYE/TARGET=LUNGS CALCIFIED=MUCINOUS ADENOCARCINOMA CYSTIC=LEIOMYOSARCOMA

ABDOMEN ARDMS (12 decks)

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