Basic Liver Pathology Flashcards

1
Q

What are the kinds of hepatic cyst?

A

Simple and Complex

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2
Q

Describe a simple hepatic cyst

A

anechoic, well defined borders, posterior enhancement

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3
Q

True or False: Simple hepatic cysts are congenital

A

True

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4
Q

True or False: Complex hepatic cysts are congenital

A

False; acquired

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5
Q

What are the three kinds of hepatic acquired cysts?

A

traumatic, parasitic, inflammatory

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6
Q

What is an example of a traumatic hepatic cyst?

A

hematoma

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7
Q

What is the most common kind of acquired hepatic cyst?

A

traumatic

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8
Q

What is an example of a parasitic hepatic cyst?

A

echinococcal

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9
Q

How does an echinococcal cyst appear sonographically?

A

honeycomb pattern

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10
Q

What is an example of an inflammatory hepatic cyst?

A

abcess

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11
Q

What is a common sonographic trait of an abcess?

A

ring of fire flow

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12
Q

Describe polycystic liver disease

A

multiple cysts scattered throughout the liver; causes liver enlargement

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13
Q

Describe Budd-Chiari Syndrome

A

Obstruction/stenosis of hepatic veins outflow tract

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14
Q

How does Budd-Chiari Syndrome appear sonographically?

A

Veins have hepatopetal flow instead of hepatofugal (reverse flow)

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15
Q

What is the sonographic appearance of congestive heart failure?

A

Dilated hepatic veins and IVC

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16
Q

Hemangioma is also known as?

A

Cavernous Hemangioma

17
Q

What is the most common benign liver neoplasm?

A

hemangioma

18
Q

How does a hemangioma appear sonographically?

A

echogenic; hyperechoic to parenchyma

19
Q

True or False: Hemangiomas are more common in women

A

True

20
Q

Why do hemangiomas not light up with color doppler?

A

highly vascular but blood flow is too slow to be picked up by color, or even power doppler

21
Q

Hepatic adenomas are linked to?

A

oral contraceptives

22
Q

Why are hepatic adenomas linked to oral contraceptives?

A

Hormone dependency

23
Q

What are the sonographic characteristics of hepatic adenomas?

A

benign, solid, hypoechoic rim, blood flow around periphery (characteristics of adenoma)

24
Q

What is the most common malignant neoplasm of the liver?

A

Hepatoma (Hepatocellular Carcinoma)

25
Q

What is another name for a hepatoma?

A

Hepatocellular Carcinoma

26
Q

True or False: Hepatoma is more common in women

A

False; men

27
Q

Patients with _______ are more prone to hepatoma

A

cirrhosis

28
Q

Describe portal vein thrombosis

A

blood clots in portal vein

29
Q

How does portal vein thrombosis appear sonographically?

A

echogenicity inside portal veins; absence or diminished blood flow

30
Q

True or False: The liver is a common site for metastasis

A

True

31
Q

How do mets appear sonographically?

A

Bulls eye appearance