Clinical: Liver, GB, Pancreas Flashcards
(28 cards)
A low albumin/globulin ratio usually indicates
cirrhosis
What is the proper caliper placement for assessing the portal vein diameter
inner wall to inner wall at the point the portal vein crosses the IVC
Hypersplenism and anemia are common findings in cases of
cirrhosis
When evaluating the venous outflow of a liver transplant patient, it is most important to check the surgical history to find ________ before scanning
the type of surgical anastomosis
Acetic acid injection, ethanol injection and radiofrequency ablation are techniques used to treat
hepatocellular carcinoma
A 56yr old male presents with a 4yr history of cirrhosis. When performing the ultrasound exam on this patient, the size of which of the following structures should be assessed to evaluate the effects of cirrhosis
right lobe, portal vein, caudate lobe
A patient presents for an abdominal ultrasound due to elevated Lactic Dehydrogenase and a low grade fever. Which of the following is the most likely finding on the exam
hepatitis
What lab value would be elevated with a biliary obstruction due to a hepatocellular carcinoma, but not with a biliary obstruction due to choledocholithiasis
AFP
Jaundice is not a clinical symptom of
fatty infiltration
________ is a hemolytic disorder that causes increased indirect bilirubin levels in the blood
anemia
sulfur colloid imaging is
used to evaluate suspected focal nodular hyperplasia
What lab test is used to evaluate the endocrine function of a pancreas transplant
glucose levels
Which liver function level is the most sensitive indicator for alcoholism
GGTP
A patient presents for an abdominal sonogram due to a history of esophageal varices. What structures should be closely evaluated for related findings
portal system
AFP values will be increased with
malignancy and pregnancy
Serum amylase will not be increased with
parathyroid adenoma
A patient presents for a RUQ ultrasound due to a positive Casoni skin test. What are you looking for on the exam
hydatid cyst
A patient presents with mildly increased levels of ALT and significantly increased levels of AST. Which of the following is an expected findings on the ultrasound exam
cirrhosis
What liver abnormalities have been related to the use of oral contraceptives
hepatic adenoma and budd chiari syndrome
What can be found on urinalysis of a patient with choledochlithiasis
conjugated bilirubin
Increased serum levels of _______ usually provide the first indication of an extrahepatic biliary obstruction
alkaline phosphatase (ALP)
What liver mass is associated with glycogen storage disease
adenoma
What lab value increases with gallbladder cancer, cholecystitis or prolonged biliary obstruction
prothrombin time
What type of hepatic abscess causes a fever and leukopenia
fungal
