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ABDOMINAL Liver/billiary/panc > Liver > Flashcards

Liver Flashcards

1
Q

posterior relations to the liver

A
  1. diaphragm
  2. RK
  3. hepatic flexure of the colon
  4. duodenum
  5. gallbladder
  6. IVC
  7. esophagus
  8. fundus of stomach
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2
Q

areas of the liver that arent covered by peritoneum

A
  • area that rest directly on the diaphragm (bare area)
  • IVC fossa
  • porta hepatis
  • GB fossa
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3
Q

2 liver surfaces

A
  1. diaphragmatic
  2. visceral
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4
Q

liver visceral surface

A

posterior aspect
outlined by the sshape of the surrounding organs

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5
Q

the falciform ligament attaches

A

the anterior surfae of the liver to the anterior abdomnal wall

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6
Q

ligament of teres divides the left lobe into

A

medial and lateral segments

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7
Q

ligament venosum sits…

A

the caudate lobe and the left lobe

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8
Q

quadrate lobe

A

lobe on the inferior surface of the liver between the GB fossa and the fissure for the round ligament

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9
Q

riedels lobe

A

tounge like extension of the right lobe

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10
Q

common causes of fatty infiltration

A

alcohol
diabetes mellitus
obesity
severe hepatitis
chronic illnes
steroids

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11
Q

symptoms of fatty infiltration

A

typically no symptoms
liver may be enlarged

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12
Q

lab values of fatty infiltration

A

normal to increased ALT AST
increased ALP direct bilirubin

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13
Q

fatty infiltration on ultrasound

A

difficult to see vessels or structures in the liver
increased echogenicity

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14
Q

hepatitis lab values

A

increase ALT, AST
increase bilirubin
will be higher than cirrhosis

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15
Q

hep c can lead to

A

cirrhosis

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16
Q

acute hepatitis on ultrasound

A

increase in echogenicity

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17
Q

chronic hepatitis on ultrasound

A

heterogeneous and echogenic liver texture

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18
Q

end stage cirrhosis has

A

liver cell failure and portal hypertension
increased incidence of hepatoma

19
Q

cirrhosis symptoms

A

fatigue
bruising
itchy and jaundice skin
ascites
nausea
swelling in legs
weight loss

20
Q

poly cystic liver disease LFTS

A

normal

21
Q

poly cystic liver disease is more common in

A

women

22
Q

poly cystic liver disease on ultrasound

A

multiple cyst
loss of border definition

23
Q

inflammatory diseases of the liver

A

pyogenic abscess
hepatic candidiasis
amebic abscess
hydatid cyst

24
Q

inflammatory diseases of the liver symptoms

A

ELEVATED WBC
dark color urine
diarrhea
chills,vomiting,fever

25
Q

sources of infection for a pyogenic abscess

A

**most frequent from E coli **
* cholangitis
* colitis
* direct spread from other organ

26
Q

pyogenic abscess lab values

A
  • elevated LFT
  • leukocytosis and anemia
27
Q

pyogenic abscess on ultrasound

A

***** Most common on right lobe of the liver
* complex

28
Q

hepatic candidiasis is caused by

A

fungus

29
Q

Who does hepatic candidiasis usually occur in

A

immunocompromised host

30
Q

hepatic candidiasis on ultrasound

A

small hypoechoic masses with echogenic central cores

31
Q

what is amebic abscess primarily a disease of

A

the colon but spreads to the liver parenchyma via the portal vein

32
Q

echinococcal cyst is

A

from sheep and spread when food or water contains parasites

33
Q

echinococcal cyst on ultrasound

A

daughter cyst
simple cyst

34
Q

hemangioma occurs usually where

A

right lobe of the liver

35
Q

hemangioma is the most

A

common benign tumor of the liver

36
Q

liver cell adenoma has an increase incidence due to

A

use of oral contraceptives

37
Q

focal nodular hyperplasia

A

increased incidence with oral contraceptives
rare

38
Q

all malignant hepatic tumor have elevated what?

A

alpha feto protein

39
Q

malignant hepatic tumor symptoms

A

weight loss
hepatomegaly
fatigue
vomiting and nausea

40
Q

hepatoblastoma occurs in adults or children?

A

infants and children during the first 3 yrs of life

41
Q

primary sites for metastatic disease to the liver

A

colon
breast
lung

42
Q

spread of the cancer occurs through…

A
  • portal vein
  • lymphatics
  • hepatic artery
  • direct extension
43
Q

symptoms of a hematoma

A
  • drop in hematocrit level
  • tenderness
  • distention
  • abd pain

ABDOMINAL Liver/billiary/panc (5 decks)

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