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Liver Pathologies > Benign > Flashcards

Benign Flashcards

1
Q

Simple Hepatic Cyst

A

Found in covering and lining of liver

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2
Q

Signs and Labs for a Simple Hepatic Cyst

A

Signs: none, usually asymptomatic
Labs: normal LFT’s

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3
Q

Polycystic Liver Disease

A

Autosomal Recessive

-60% have associated kidney disease

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4
Q

Signs and Labs of Polycystic Liver Disease

A

Signs: none, can lead to infection or hemorrhage
Labs: Normal (unless there’s an obstruction)

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5
Q

What else do you eval when you find a Polycystic Liver Disease

A

Pancreas, Spleen, and Kidneys

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6
Q

Complex Cysts

A

Hematoma
Amebic Abcess
Pyogenic Abcess
Hydatid Cyst

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7
Q

Hematoma

- its variable appearance

A

Acute: hyperechoic, first 24 hrs
Subacute: complex and anechoic
Resolving: anechoic with post. Enhancement
Chronic: Anechoic with calcs

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8
Q

Amebic Abcess

A

Liver parenchyma destroyed by parasites (protozoans)
Signs: bloody diarrhea, weight loss, fatigue and pain
Labs: Leukocytosis

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9
Q

Sono of an Amebic Abcess

A

Shaggy walls, mass with debris and septations

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10
Q

Pyogenic Abcess

A

Usually due to infection and/or trauma
Signs: fever, pain, N/V, diarrhea
Labs: elevated LFT, leukocytosis, anemia

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11
Q

Sono of pyogenic Abcess

A

1cm or larger

Hypoechoic w/out void margins…could be complex

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12
Q

Labs for pyogenic abcess

A

Increased LFT’s
Leukocytosis
Anemia

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13
Q

What is an Hydatid Cyst of the liver

A

Worms/parasites live and thrive in the body
Super rare!
Signs: none or a dull abd pain
Labs: none or maybe increased AFP

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14
Q

Water-Lilly sono image

A

Hydatid Cyst

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15
Q

Examples of solid benign masses

A 
Hemangioma 
Infantile Hemangioendothelioma 
FNH
Hepatic Adenoma 
Granuloma
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16
Q

Most common benign liver tumor

A

Hemangioma

17
Q

Hemangioma has another name

A

Cavernous Hemangioma

18
Q

Signs of a Hemangioma

A

Asymptomatic
Can hemorrhage
Increased risk with pregnancy

19
Q

Infantile Hemangioendothelioma

A

Vascular Tumor, found within 1st 6 months of life

-Presents as CHF

20
Q

Sono eval infantile Hemangioendothelioma

A

Large solitary lesions that can hemorrhage centrally…
Possible for necrosis
Increased vascularity

21
Q

FNH

A

Focal Nodular Hyperplasia

22
Q

What is FNH

A

2nd most common liver tumor

Increased risk with long BC use

23
Q

2nd most common liver masses

A

Focal Nodular Hyperplasia

24
Q

Labs for FNH

A

No change in labs with no symptoms

25
Q

Hepatic Adenoma

A

Linked to long term BC use

26
Q

Mass less common than FNH

A

Hepatic Adenoma

27
Q

Sono of a Hepatic Adenoma

A

Solitary, well-encapsulated lesion

8-15cm

28
Q

Granuloma

A

Histoplasmosis

29
Q

Sono of granuloma

A

Small calcs or hyperechoic spots on liver or spleen

Echogenic foci w/ posterior shadowing

Liver Pathologies (3 decks)

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