Liver Flashcards

1
Q

Hepatic veins are _____segmental

A

INTERsegmental

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2
Q

Portal veins are ____segmental

A

INTRAsegmental

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3
Q

Main lobar fissure separates ____ & _____ lobes

A

Right and left lobes

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4
Q

Falciform ligament/ligamentum teres divide

A

Medial and lateral left lobes

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5
Q

Caudate lobe occupies the ______ surface of the liver

A

Posterior superior

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6
Q

Caudate lobe is drained by ____ veins

A

Emissary veins

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7
Q

Enlargement of the caudate lobe can happen with

A

Cirrhosis and Budd Chiari

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8
Q

Remnant of fetal umbilical vein

A

Ligamentum teres

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9
Q

Direction of fetal circulation

A
  1. Umbilical vein
  2. LPV
  3. Ductus venosus
  4. IVC
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10
Q

Hepatic vein waveforms

A

Triphasic

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11
Q
  • caused by histoplasmosis or tuberculosis
  • calcifications in liver and/or spleen
  • Small collections of macrophages
A

Granulomas

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12
Q

“Starry night”

A

Acute hepatitis

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13
Q

Round hypoechoic/complex mass typically in the right lobe

- TRAVELERS/IMMIGRANTS

A

Amebic abscess

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14
Q

Most common source for pyogenic liver abscess

A

Biliary tract disease

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15
Q

Aka round ligament

A

Ligamentum teres

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16
Q

“Wheel within a wheel”

A

Candidiasis/fungal

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17
Q

Abscess more common in IMMUNOCOMPROMISED patients

A

Candidiasis

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18
Q

Multiple cysts that DONT communicate with biliary tree

A

Polycystic liver disease

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19
Q

AKA steatosis

A

Fatty infiltration

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20
Q

Most common glycogen storage disease

A

Von gierke (type 1)

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21
Q

Abnormal iron deposits in organs

A

Hemochromatosis

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22
Q

Hemochromatosis is best evaluated with

A

MRI

23
Q

Disorder of copper metabolism that can lead to cirrhosis

A

Wilson’s disease

24
Q

1 cause of cirrhosis

A

Hep C

25
Q

2 cause of cirrhosis

A

Alcohol

26
Q

Cirrhosis has an increased risk for developing

A

HCC

27
Q

“Hydatid disease”

A

Echinococcal cyst

28
Q

Common in sheep herding countries

A

Echinococcal/hydatid

29
Q

Water lily sign

“Daughter cysts”

A

Echinococcal/hydatid

30
Q

Early stages of echinococcal/hydatid cyst may contain cysts with debris called

A

Hydatid sand

31
Q

Tests for echinococcal/hydatid disease

A
  • ELISA

- Casoni skin test

32
Q

Parasite that causes portal hypertension

A

Schistosomiasis

33
Q

Major cause of portal hypertension

A

Cirrhosis

34
Q

TIPS is placed between

A

RPV & RHV

35
Q

Hepatic vein and IVC obstruction

A

Budd chiari

36
Q

Most common benign tumor of liver

A

Cavernous hemangioma

37
Q

Most common benign vascular tumor in infancy

A

Infantile hemangioendothelioma

38
Q

2 most common benign liver mass

A

Focal Nodular Hyperplasia

39
Q

“Stealth lesion”

A

FNH

40
Q

Central fibrous scar

A

FNH

41
Q

Occur mostly in women of childbearing age and are strongly associated with oral contraceptive pills

A

Adenoma

42
Q

Artifact that is produced by lipomas

A

Propagation speed artifact

43
Q

Most common primary malignancy of liver

A

HCC

44
Q

HCC labs:

A

AFP

45
Q

Hepatic adenoma is also associated with this disease:

A

Glycogen storage disease

46
Q

1 pediatric primary liver malignancy

A

Hepatoblastoma

47
Q

Strong sonographic sign of malignancy in liver

A

Halo sign

48
Q

Hypoechoic metastases comes from:

A

Lymphoma

49
Q

Hyperechoic metastases comes from:

A

GI tract

50
Q

Bulls eye or target metastases comes from:

A

Lung

51
Q

Calcified metastases comes from:

A

Mucinous adenocarcinoma of colon

52
Q

Cystic metastases comes from

A

Leiomyosarcoma

53
Q

Hepatoblastoma is associated with this genetic condition

A

Beckwith Wiedemann

54
Q

Hepatoblastoma labs:

A

AFP