HEP biliary tumors Flashcards

1
Q

hep cell CA
symptoms

A

rapid deterioration of liver function and PT{despite taking medications }
anorexia
nausea vomitting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

HCC
Lfts?

A

obstructive( very high ALP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

P..”S”..C with rapid deteriorating LFTs and PT

A

cholangio ca

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Cholangiocarcinoma
Association

A

primary SCLEROSING cholangitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

cholangiocarcinoma
symptoms

A

PSC
PAINLESS JAUNDICE
RAISED LFT ( OBSTRUCTIVE )
NORMAL: “AFP”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Ascending cholangitis
symptoms

A

Fever/rigors
RUQ pain
jaundice

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

risk factors for
HCC

A

hepatitis > alcohol
hep c (western countries )
hep b (developing)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

percent of HCC resectable

A

15 to 20 percent

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Primary “B”iliary chonangitis
associated disease

A

haemochromatosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

HCC high prevalence

A

east africa and south east asia
high in hepatitis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

metabolic risk factors for HCC

A

alpha 1antitrypsisn deficiency
primary or hereditary haemochromatosis (not secondary)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

intra and extra hepatic duct dilation causes

A

PSC
Cholangiocarcinoma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

auto immune destruction of INTRA hepatic ducts

A

PBC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

viral hepatitis hepatology

A

fibrosis and cirrhosis of liver parenchyma

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

drug indused cholestasis
risk factor

A

acute or chronic liver disease

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

drug inused cholestsis drugs

A

azathioprine
isoniazid
halothane
nsaids
macrolides
tca

17
Q

other risk factors of HCC

A

STEATOHEPATITIS ( not hepatic steatosis)
wilson disease

18
Q

ebstein barr virus CANCER

A

BURKITTS AND
HODGKINS LYMPHOMAS
CNS

19
Q

HERPES VIRUS 8 CANCER

A

KAPOSISARCOMA

20
Q

HPV cancers
1 and 18

A

cervical
oral pharengeal and anal malignancies

21
Q

human t lymphocyte virus cancer

22
Q

southeast asian / african
hepatomegaly
alcohol
elervated lfts
wt loss
+/- POSITIVE FOR HGEPATITIS
DD?

A

HCC» CHOLAGIOCARCINOMA

23
Q

screening for hcc .. whom and when

A

cirrhosis
six to 12 months

24
Q

chronic hepatitis b labs

A

HB s Ag
IgG Anti HB c

25
acute hepatitis labs
IgM anti HB c
26
haemangioma of liver USG
Hyper echoic nodular lesions
27
MILAN criteria for liver transplant
single lesion <=5cm or three lesion <=3cm with no extra hepatic involvement and no major vessel involvement.
28
coclorectal ca chemo
FOLFOX
29
CA gall bladdder risk facots
UC PSC gall stones
30
hcc= cholangio ca= gall bladder ca= hallamark
deterirating lft itchy skin , swingging pyrexia abdominal mass
31