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SURGERY > Liver > Flashcards

Liver Flashcards

1
Q

Quincke’s triad (Hemobilia)

A

jaundice
RUQ abdominal pain
upper gastrointestinal hemorrhage

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2
Q

characterized by the presence of fibrous septa that leads to hepatic nodules

A

Liver Cirrhosis

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3
Q

Detectable when serum bilirubin > 2.5 to 3 mg/dL

A

Jaundice

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4
Q

Ascites are clinically detectable when they reach this volume.

A

> 1.5L

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5
Q

What comprises your Child-Pugh Score? (6)

A

Nutritional status
Ascites
Encephalopathy
Serum bilirubin
Serum albumin
Prothrombin Time

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6
Q

Laboratory findings for cirrhosis (4)

A

Mild normocytic normochromic anemia
Reduced WBC and platelet counts
Prolonged prothrombin time (PT)
Decreased serum albumin

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7
Q

First line treatment for spontaneous bacterial peritonitis

A

Empiric antibiotics
Cefotaxime - first line medication

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8
Q

Normal portal pressure

A

5-10mmHg

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9
Q

most accurate method of determining portal HTN

A

Hepatic venography

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10
Q

Most significant manifestation of portal HTN

A

esophageal varices

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11
Q

Leading cause of morbidity and mortality

A

Esophageal Varices

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12
Q

NON-SHUNT SURGICAL PROCEDURES:
Ligation of venous branches entering the distal esophagus and the proximal stomach from the level of the inferior pulmonary vein

Transection of esophagus, splenectomy, truncal vagotomy, & pyloroplasty

A

Sugiura Fukugawa procedure

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13
Q

Most definitive form of therapy for complications of portrayal hypertension

A

Orthotopic liver transplantation

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14
Q

Congestive hepatopathy characterized by obstruction to hepatic venous outflow

A

Budd Chiari syndrome

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15
Q

Most frequently affected lobe in liver abscess

A

Right lobe

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16
Q

Most common organism isolated in liver abscess

A

Gram negative particularly E.coli

17
Q

Presentation of liver abscess

A

RUQ pain and fever
Jaundice in 1/3 of patients
Elevated WBC, ESR, alkaline phosphatase

18
Q

Necrotic central portion containing reddish brown pus-like material (anchovy paste)

A

Amebic liver abscess

19
Q

Most common benign solid mass in the liver and common in women

A

Hemangioma

20
Q

Most frequently encountered liver lesion overall

A

Hepatic cyst

21
Q

Primary tumor of hepatocytes

A

Hepatocellular carcinoma

22
Q

Primary tumor of bile ducts

A

Cholangiocarcinoma

23
Q

Liver metastasis

A

Most common malignant liver tumor usually from Colorectal carcinoma

24
Q

Hepatocellular carcinoma risk factors (5)

A

Cirrhosis
Hepatitis B or C
Alcoholic
Hemochromatosis
Non-alcoholic steatohepatitis

25
Q

Milan criteria for liver transplantation (5)

A

One nodule < 5cm
2 or 3 nodules < 3cm
(-) vascular invasion
(-) extra hepatic spread
Child A, B, C

26
Q

Absolute Contraindications for liver biopsy

A

Significant coagulopathy
Biliary dilatation
Suspicion of hemangioma or echinococcal cyst

27
Q

Gold standard treatment for cholangiosarcoma

A

Resection

SURGERY (11 decks)

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