Hpb

Question 1

Hepatocellular adenoma

Answer 1

90% develop in women in their 3rd to 5th decade
Link the use of oral contraceptive p.m.
Lesions are usually solitary
The are usually sharpie demarcated from normal liver although they usually like febris capsules
I noticed on the other peers are of mixed echoity and heterogeneous texture
CT hypodense prior IV contrast
In patients with haemorrhage or symptoms-remove
If > 5cm- remove
Adenomas in males are likely to be smaller -but greater risk of malignancy.

Question 2

Boas Sign

Answer 2

Hyperaesthesia of the tip of the right scapula in cholecystitis

Question 3

Boas Sign

Answer 3

Hyperaesthesia of the tip of the right scapula in cholecystitis

Question 4

Median arcuate ligament syndrome

Answer 4

Epigastric pain with audible bruit
Duplex scanning
CT angiography

Question 5

Résection of which intestinal tract will cause gallstones

Answer 5

Ileal resection

Question 6

Porta hepatis

Answer 6

Portal vein
Hepatic artery
Common hepatic duct