ABD II test 1 review questions Flashcards
Fatty infiltration
when will it be observed
what diseases
cirrosis
hepatitis
metastases
What are sonographic findings of acute hepatitis
-may appear normal
-portal vein borders more prominent
-parenchyma slightly more echogenic
-attenuation
-hepatosplenomegaly is present
-thickened gallbladder wall
page 236
Bud chairi
caused by thrombosis of hepatic veins or IVC pg 246
echinococcal cyst
where are they most common
common in sheep herding area of the world
it is a tape worm pg 255
Most common benign tumor of the liver
cavernous hemangimona pg 256
What benign liver tumor is found in people with glycogen storage disease
hepatic adenomas pg 239
Patients who have hepatocellular carcinoma are likely to have had what
cirrhosis hepatitis B and C a palpable mass hepatomegaly appetite disorder fever page 259
Most common form of neoplastic involvement of the liver
METS ? i googled it, maybe metastatic desease
In severe hepatocellular destruction the AST and ALT levels will be what
elevated pg 217
Elevation of the alk phos is associated with what
intra or extra hepatic obstruction hepatic carcinoma abscess cirrhosis pg 218
Elevation of serum biliruben results in what
excessive amount of red blood cell destruction
malfunction of liver cells
blockage of ducts leading from cells
pg 218
Typical symptom a patient may have with abcess formation
fever
elevated white cell count
right upper quadrant pain
pg 253
What tumor has large blood filled spaces
cavernous hemangioma
pg 256
Dilated intrahepatic ducts may be seen with what
common duct stricture
extrahepatic mass
passive hepatic congestion
What benign liver tumor is located by the free edge of the liver, well described and solitary
focal nodular hyperplasia ? pg 258
Common malignancy that involve the pediatric population
hepatoblastoma pg 694
An older man has hist of alcoholism, diagnosed with acute pancreatitis, hematocric and ?hypotensive? levels decreases, whats happening
hemorrhagic pancreatitis ? pg 318
patient with painless jaundice weight loss, and loss of appetite, what do they have
metastatic disease pg 257
A serum _______level of twice normal shows acute pancreatitis
amylase
pg 311
Normal signs and symptoms of acute pancreatitis
-sudden onset of moderate to severe abdominal pain with radiation to the back
-nausea and vomiting
-history of gallstones localized or alcoholism
-mild fever
-elevated pancreatic enzymes in blood amylase and -lipase
-leukocytosis (elevated WBC count)
-ABD distention
pg 318
Most common cause of pacreatitis in U.S.
alcoholism
A condition that causes increase secretion of abnormal mucus of exocrine glands
cystic fibrosis
appearance of acute pancreatitis
-normal to enlarged size focal/diffuse
-hypoechoic texture (edema)
-borders distinct but irregular
-enlargement of head causes depression on IVC
-40% to 60% have gallstones
-pancreatic duct may be enlarged
-parapancreatic fluid collections
pg 318
appearance of chronic pancreatitis
- gland is small and fibrotic
- irregular borders
- mixed echogenicity
- dilated pancreatic duct (string of pearls sign w/ dilated duct)
- look for calculi within duct
