Hepatology Flashcards
Which is an autosomal dominant inherited hyperbilirubinemia
Crigler najar type 2
Which cell or zone is most likely affected during ischaemic injury to the liver
Centrilobar cells
Mickey Mouse sign
Lateral - CBD
Medial - hepatic artery
Posterior - portal vein
Vinyl chloride exposure leads to which liver cancer
Angiosarcoma
Which is the rumour marker for fibromedullary variant of Hepatocellular Carcinoma
Increase in serum vitamin B12 binding protein and increase in neurotensin levels
A CT showing central stellar scar, what disease is possibly associated.
Focal nodular hyperplasia
Patient with ascites. Shows CT scan of congested liver with grossly enlarged of segment 1/caudate lobe. What disease process?
Budd Chiari Syndrome
Warm ischaemia of the liver can be tolerated for?
45 minutes
Treatment of esophageal varices
Standard- drug therapy (terlipressin)
- endoscopic ligation orbanding
Can also do blood transfusion, correct the coagulopathy, oesophageal balloon tamponade (sengstaken blakemore tube)
Assess portal vein patency
Trans jugular intrahepatic portosystemic shunt sys
TIPSS
Where do you see rokitansky aschoff sinus?
Chronic cholecystits.
Seen when the mucosa of gallbladder proliferates into the lumen creating deep clefts in the wall.
Cantlies line?
Divides the liver into two functions halves. Drawn from gallbladder fossa to the middle hepatic vein
Malignant hydatid caused by?
Echinococcus multilocularis
Hydatid cyst. Water lily sign is seen in which grade of classification
Seen in type CE3
What is carolis disease
Congenital dilation of intrahepatic biliary tree
Needle used for liver biopsy
Vim silverman needle or Menghini needle
