GI Section III: Liver (congenital/infections)

Question 1

Cystic Kidney Disease (AD and AR)

What are the difference

Answer 1

ADCKD - cysts in the liver

ARKD - Fibrosis

Question 2

Autosomal dominant disorder characterized by multiple AVMs in the liver and lungs.

Answer 2

Hereditary Hemorrhagic Telangiectasia (Osler-Weber-Rendu)

Question 3

Hereditary Hemorrhagic telangiectasia (Osier-Weber-Rendu) can lead to ?

Answer 3

Cirrhosis + MASSIVELY DILATED HEPATIC ARTERY

Question 4

Lung AVMs set you up for what disease?

Answer 4

brain abscess

Question 5

What are the chronic hepatitis infections?

Answer 5

B and C.

Rest are acute

Question 6

HCC in the setting of hepatitis can occur in the ACUTE form of?

Answer 6

Hepatitis B (as well as chronic)

Question 7

Hepatitis ultrasound picture

Answer 7

“Starry sky” - non specific

Question 8

These can mimic cysts.

Answer 8

Pyogenic

Question 9

Single abscess =

Answer 9

Klebsiella

Question 10

Multiple Abscess =

Answer 10

E. coli

Question 11

What is highly suggestive of pyogenic abscess?

Answer 11

Presence of gas

Question 12

Answer 12

Liver abscess on CT

Classic sign

“Double Target” sign with central low density, rim enhancement, surrounded by more low density

Question 13

Answer 13

Candida

“Bull’s Eye”

Question 14

Answer 14

Amebic abscess

Question 15

Answer 15

“Water lilly”

Hydatid Cyst

Question 16

“Enlarging liver”

Answer 16

Hydatid cyst

Question 17

Answer 17

Hydatid cyst

“Daugter cysts”

Question 18

Answer 18

Hydatid Cyst

“Snowstorm”

Question 19

This syndrome is seen exclusively in women of questionable moral standard (“free spirits”) + Pelvic inflammatory disease (gonococcal salpingitis or chlamydia) + RUQ pain

Answer 19

Fitz-Hugh-Curtis Syndrome

Question 20

Answer 20

Fitz-Hugh-Curtis Syndrome

enhancement of the anterior liver capsule, perihepatic ascites, and peritoneal septations

tubo-ovarian abscess in the pelvis