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HEPATOLOGY > LIVER > Flashcards

LIVER Flashcards

1
Q

Pyogenic and Amoebic Liver Abscess
⚡⚡ MOST COMMON CAUSE
🧠⚡LPG aLP ⚡
🧠⚡ PTA⚡

A
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2
Q

IOC FOR
AMOEBIC LOVER ABSCESS
PYOGENIC LIVER ABSCESS

A

USG/CECT
CECT is superior

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3
Q

Treatment of Entamoeba
PMT-Delhi

A
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4
Q

Solitary/Multiple? AMOEBIC LIVER ABSCESS

A

Solitary

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5
Q

Solitary/Multiple? Pyogenic Liver Abscess

A

Both Solitary and Multiple

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6
Q

Acute Cholangitis can occur in:

A

Pyogenic Liver Abscess.
Fever with Spikes
Pain
MORE TOXIC

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7
Q

Anchovy Saucy Pus CHARACTERISTIC of

A

Amoebic Liver Abscess

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8
Q

Organism causing HYDATID CYST

A

✨ Echinococcus Granulosus
✨ Echinococcus Multilocularis

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9
Q

MALIGNANT HYDATID DISEASE

A

Echinococcus Multilocularis
⬇️
Multiple Cysts in Liver

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10
Q

Life Cycle of Echinococcus

A
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11
Q

⚡⚡ MOST COMMON ORGAN AFFECTED BY ECHINOCOCCUS

A

Liver > > Lung

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12
Q

🧑🏻‍⚕️ Clinical Features of HYDATID DISEASE

A
  1. MASS: Right Upper Quadrant
  2. Painful HEPATOMEGALY
  3. Eosinophilia
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13
Q

HYDATID THRILL

A

Placing 3 fingers on the Mass & percussing with Middle Finger
⬇️
Fluid ➕ in Cyst
⬇️
Fluid Thrill is Felt on other 2 fingers

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14
Q

🩺 IOC for HYDATID DISEASE

A

USG

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15
Q

Gharbi CLASSIFICATION is used for

A

HYDATID DISEASE

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16
Q

GHARBI CLASSIFICATION

A
17
Q

💊💉 MANAGEMENT of HYDATID DISEASE

A

Albendazole ➕ PAIR
✨ PERCUTANEOUS
✨ ASPIRATION under USG
✨ INJECTION
✨ REASPIRATION under USG

18
Q

Injection substance in PAIR Protocol
🧠⚡ Scolicidal Agent: CHAMP⚡

A
  1. Cetrimide (0.5%) with 0.05% Chlorhexidine
  2. Hypertonic Saline
  3. Alcohol (95%)
  4. Mebendazole
  5. Povodine Iodine
19
Q

🚫 CONTRAINDICATION for PAIR
🧠⚡MSC D²IE⚡

A
  1. Multiloculated cyst
  2. Superficially located cyst
  3. Cystobiliary communication
  4. Dead (OR) Calcified Cyst
  5. Deep Seated Cyst
  6. Impending RUPTURE
  7. Extrahepatic cyst
20
Q

INDICATION for SURGERY IN HYDATID CYST

A

PAIR is 🚫 CONTRAINDICATION

21
Q

SURGERY IN HYDATID CYST
🧠⚡ RCC⚡

A
  1. Resection
  2. Capitonnage: Resect the cyst & spiral suturing of cavity
  3. Cystopericystectomy
22
Q

Prevention of HYDATID Anaphylactic Reaction during SURGERY

A

Line the Abdominal Cavity with BETADINE SOAKED MOPS

23
Q

If during surgery, HYDATID Cyst fluid Leaks into Peritoneal cavity, then

A

Diffuse Recurrance occurs

HEPATOLOGY (16 decks)

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