Cirrhosis

Question 1

what is cirrhosis

Answer 1

Chronic degenerative disease of the liver

Question 2

What occurs in cirrhosis

Answer 2

Lobes are covered with fibrous tissue, parenchyma degenerates and lobules are infiltrated with fat

Question 3

what is micronodular cirrhosis a result of?

Answer 3

alcohol abuse

Question 4

What is micronodular cirrhosis a result of?

Answer 4

Viral hepatitis or infection

Question 5

what are essential features of cirrhosis?

Answer 5

Essential feature is simultaneous parenchymal necrosis, regeneration, and diffuse fibrosis, resulting in a disorganization of lobular architecture.

Question 6

what are three classic cirrhosis symptoms

Answer 6

Hepatomegaly, jaundice, ascites

Question 7

What are symptoms of acute cirrhosis

Answer 7

Asymptomatic or

Nausea, flatulence, ascites, light coloured stool, weakness, abdominal pain, varicosities, spider angiomas

Question 8

what are symptoms of chronic cirrhosis

Answer 8

Nausea, anorexia, weight loss, jaundice, dark urine, fatigue, varicosities

Question 9

Lab tests associated with cirrhosis

Answer 9

Increased ALK phos 
· Increased Direct Bilirubin 
· Increased AST
· Increased ALT 
· Increased Leukopenia

Question 10

what is the first sonographic finding of cirrhosis

Answer 10

Hepatomegaly (Enlarged liver)

Question 11

As cirrhosis increases, liver volume _______in the right lobe and _________ and ______ enlarges

Answer 11

Right lobe, left lobe, caudate lobe

Question 12

what test can indicate of cirrhosis

Answer 12

Ratio of caudate lobe width to the right lobe width can be used to indicate cirrhosis (C/RL value of 0.65 is indicative of cirrhosis)

Question 13

Is echogenicity decreased or increased?

Answer 13

Increased echogenicity and coarsening of the hepatic parenchyma secondary to fibrosis and surface nodularity

Question 14

There is _________attenuation

Answer 14

Increased

Question 15

there is __________vascular markings

Answer 15

Decreased

Question 16

what may be present with ascites around the liver?

Answer 16

Hepatosplenomegaly

Question 17

what lobes may be atrophied?

Answer 17

Right and left medial

Question 18

what appearance occurs in chronic cirrhosis

Answer 18

Surface nodularity around the liver edge

Question 19

What are differential diagnosis of cirrhosis?

Answer 19

· Fatty Liver

· Hepatitis

Question 20

what are other causes of cirrhosis?

Answer 20

Other causes of cirrhosis include biliary cirrhosis, Wilson disease, primary sclerosing cholangitis, and hemochromatosis.