LIVER Flashcards

1
Q

FUNCTIONS: -BILE
-METABOLISM OF FATS,PROTIEN,CARBS
-STORAGE OF GLYCOGEN,VITAMINS,MINERALS
-BLOOD DETOX
-SYNTHESIS OF PLASMA PROTEINS (ALBUMIN)

A

LIVER

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2
Q

RIGHT AND LEFT LOBES DIVIDES BY PLANE BETWEEN THE ____ AND ____

A

GB AND IVC

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3
Q

BLOOD SUPPLY
RT LOBE=
LT LOBE=
CAUDATE=

A

RPV
LPV
BOTH PV

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4
Q

CAUDATE LOBE LIES ON THE POST-SUP SURFACE BETWEEN THE ____ AND ______ ____ ______

A

IVC AND MEDIAL LEFT LOBE

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5
Q

IVC ENLARGMENT=

A

CAUDATE COMPRESSED

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6
Q

HEPATIC VEINS COURSE BETWEEN LOBES OF _________

A

SEGMENTS

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7
Q

THE PORTAL TRIAD ENCASED BY ______ ______ GIVING HYPERECHOIC WALLS

A

GLISSONS CAPSULE

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8
Q

MAIN LOBAR FISSURE DIVIDES _____&_______ LOBES BY IVC AND GB FOSSA

A

RIGHT AND LEFT

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9
Q

RT LOBE DIVIDES INTO ____&_____ SEGMENTS

A

ANTERIOR AND POSTERIOR

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10
Q

LT LOBE DIVIDES INTO ______&_______SEGMENTS

A

MEDIAL AND LATERAL

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11
Q

-REMANENT OF DUCTUS VENOSUM
-SEPARATES LT LOBE FROM CAUDATE

A

LIGAMENTUM VENOSUM

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12
Q

-REMANENT OF UMB V

A

LIGAMENTUM TERES

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13
Q

IN PORTAL HYPERTENSION LIGAMENTEM ______ RECANALIZES TO FORM COLLATERALS

A

TERES

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14
Q

______ IS A DIFFUSE PROCESS OF FIBROSIS AND DISTORTION OF THE NORMAL LIVER.

A

CIRRHOSIS

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15
Q

MOST COMMON CAUSE OF CIRRHOSIS

A

HEP C

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16
Q

CIRRHOSIS IS THE MAJOR CAUSE OF _____ ________

A

PORTAL HYPERTENSION

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17
Q

INCREASED LIVER FUNCTIONS IN CIRRHOSIS ARE

A

AST(SGOT),GGT, ALT(SGPT), LDH,CONJUGATED BILIRUBIN

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18
Q

RT SIDED HEART FAILURE=

A

IVC ENLARGEMENT

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19
Q

-PTS PRESENT WITH UPPER GI BLEED FROM ESOPHAGEAL VARICES RUPTURING THAT EXTEND FROM THE RT AND LT GASTRIC (CORONARY V)

A

PORTAL HYPERTENSION

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19
Q

TORTOUS COLLATERALS AROUND UMBILICUS

A

CAPUT MEDUSA

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20
Q

-PLACED TO LOWER PV PRESSURE AND AVOID RUPTURE OF VARICES AND DECREASE ASCITES

A

TIPS

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21
Q

TIPS IS PLACED BETWEEN A _______ AND ______

A

HEPATIC V AND PORTAL V (TYPICALLY THE RHV AND RPV)

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22
Q

INDICATIONS FOR LIVER TX
ADULTS= IRREVERSABLE _______
CHILDREN= _______ ______

A

CIRRHOSIS
BILIARY ATRESIA

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23
Q

TUMORAL CAUSES OF PV THROMBOSIS

A

HCC,METS,PANCREATIC CARCINOMA

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24
Q

NONTUMORAL CAUSES OF PV THROMBOSIS

A

CIRRHOSIS, PANCREATITIS, IBS, TRAUMA, PORTAL LYMPHADENOPATHY

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25
Q

MULTIPLE WORM LIKE COLLATERALS PARALLEL TO PV

A

CAVERNOUS TRANSFORMATION

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26
Q

OBSTRUCTED HEPATIC V AND POSSIBLY IVC
-CAUDATE LOBE IS SPARED BECAUSE OF EMISSARY V,LOBE ENLARGES WITH ATROPHY OF RT AND LT LOBES

A

BUDD CHAIRI

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27
Q

IN INFANTS, INTRAHEPATIC PV GAS IS DUE TO ________ _________

A

NECROTIZING ENTERCOLITIS

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28
Q

A HEMORRHAGIC CYST WILL APPER WITH RUQ PAIN,INTERNAL ECHOES, AND _________ HEMATOCRIT

A

DECREASING

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29
Q

MOST COMMON BENIGN TUMOR OF THE LIVER
-HYPERCHOIC,POSTERIOR ENHANCEMENT
-MAY APPEAR AS HYPOCHOIC IF LIVER IS FATTY
-MAY ENLARGE WITH PREGNANCY OR ESTROGEN ADMINISTRATION

A

CAVERNOUS HEMANGIOMA

30
Q

-ACCUMULATION OF TRYGLYCERIDES WITHIN HEPATOCYTES
-OBESITY
-INCREASED ECHOGENICITY

A

FATTY INFILTRATION (STEATOSIS)

31
Q

FOCAL REGIONS WITH INCREASED ECHOGENECITY COMMONLY OCCURRING AT PORTA HEPATIS

A

FOCAL FATTY INFILTRATION

32
Q

FOCAL REGIONS OF NORMAL LIVER PARENCHYMA WITHIN FATTY LIVER
-COMMONLY FOUND ADJACENT TO GB, PORTA HEPATIS, CAUDATE LOBE

A

FOCAL FATTY SPARING

33
Q

-GENETIC DISORDER,CANT BREAK DOWN GLYCOGEN
-ASSOCIATED WITH FATTY INFILTRATION AND HEPATIC ADENOMAS

A

GLYCOGEN STORAGE DISEASE

34
Q

** COPPER DEPOSITION IN LIVER**

A

WILSON DISEASE**

35
Q

IRON DEPOSITION IN LIVER

A

HEMATOCHROMATOSIS

36
Q

_____ ___ IS THE NATIONS LEADING CAUSE OF BOTH CHRONIC HEPATITIS AND CIRRHOSIS

A

HEP C

37
Q

MICRONODULAR CIRRHOSIS (<1CM) IS ASSOCIATED WITH ______

A

ALCOHOLISM

38
Q

MACRONODULAR CIRRHOSIS (1-5CM) IS ASSOCIATED WITH ______

A

CHRONIC VIRAL HEPATITIS

39
Q

-MOST COMMON PARASITIC INFECTION IN HUMANS
-MAJOR CAUSE OF PORTAL HYPERTENSION WORLDWIDE
-PERIPORTAL FIBROSIS
-OCCLUDED PV
-NOT COMMON IN US

A

SCHISTOMIASIS

40
Q

(ON TEST WIL SAY PT IS A SHEPARD)
-TAPEWORMS
-RAW PORK
-WATER LILY SIGN OR CYST WITHIN CYST
-CASONI TEST

A

ECHINOCOCAL CYST (HYDATID CYST)

41
Q

-FUNGAL INFECTION OF BLOOD THAT RESULTS IN SMALL ABCESSES IN LIVER
-TARGET SIGN, BULLS EYE,WHELL WITHIN WHEEL,UNIFORMLY HYPOECHOIC FOCUS, ECHOGENIC FOCUS
-LESS THAN 10% CASES

A

CANDIDIASIS (FUNGAL ABSCESS)

42
Q

-DUE TO ENTRAMOEBA HISTOLYTICA (10% OF CASES)
-OCCURS EXCLUSIVELY IN TRAVERLERS
-RUQ PAIN,FEVER, INCREASED LIVER TESTS, DIARRHEA, LEUKOCYTOSIS
-ROUND HYPOECHOIC/COMPLEX MASS TYPICALLY IN RT LOBE

A

AMEBIC ABSCESS

43
Q

DIFF OF AMEBIC VS PYOGENIC IS DIFFICULT. IF PT HAS TRAVELLED=

A

AMEBIC

44
Q

1 ORGANISM CAUSING AIDS

A

PNEUMOCYSTIS CARINNI

45
Q

MOST COMMON ASSOCIATED WITH HIV
-POOR NATIONS

A

TUBERCULOSIS

46
Q

HERPES TRANSMITTED IN BODY FLUIDS

A

CYTOMEGALOVIRUS

47
Q

SPREAD BY CATS BY STOOLS

A

TOXOPLASMOSIS

48
Q

COMMON EARLY SIGN IS NECK,ARMPIT,GROIN SWELLING

A

LYMPHOMAS

49
Q

TUMOR OF THE BLOOD VESSEL WALLS

A

KAPOSIS SARCOMA

50
Q

INTESTINE PARASITES

A

CRYPTOSPORDIOSIS

51
Q

FETAL CIRCULATION

A

UMB V > LPV > DUCTUS VENOSUS > IVC

52
Q

HEPATIC BLOOD FLOW IS ___% PV AND ____% PHA

A

75 AND 25

53
Q

___ MM IS THE UPPER LIMITS OF THE PV DIAMETER

A

13

54
Q

PHA RUNS PARALLEL TO THE

A

MPV

55
Q

HEPATOMEGALY IS LIVER MEASURING > ____CM SUP-INF DIMENSION

A

15.5

56
Q

______ LOBE IS A N INFERIOR PROJECTION ON THE RT LOBE WHICH IS SEEN IN WOMEN

A

RIEDELS

57
Q

-COLLECTION OF MACROPHAGES (FOCI)
-CAUSED BY HISTOPLASMOSIS OR TUBERCULOSIS INFECTION

A

GRANULOMAS

58
Q

THE ____ MAY ORIGINATE (REPLACED) FROM THE SMA. IF REPLACED RHA IS SEEN POST TO THE HEAD OF THE ______ AND MPV

A

RHA
PANCREAS

59
Q

-LIVER INFLAMMATION RESULTING FROM INFECTIOUS OR NONINFECTIOUS AGENTS
-ELEVATED ALT, AST, CONJUGATED AND UNCONJUGATED BILIRUBIN

A

HEPATITIS

60
Q

HEP A IS ACQUIRED

A

FECAL/ORAL

61
Q

HEP B AND C IS ACQUIRED

A

BLOOD/BODILY FLUIDS

62
Q

-LIVER ENLARGEMENT
-“STARRY NIGHT” (PERIPORTAL CUFFING)
-HYPERECHOIC PV WALLS

A

ACUTE HEPATITIS

63
Q

-HYPERECHOIC LIVER
-SMALL LIVER
-DECREASED ECHOGENICITY OF PV WALL

A

CHRONIC HEPATITIS

64
Q

BILIARY TRACT DISEASE IS THE MOST COMMON SOURCE OF _____ LIVER ABSCESS
-RT LOBE MORE COMMONLY EFFECTED
-COMPLEX MASS, GAS, REVERB. ARTIFACT
-S/S: RUQ PAIN, LEUKOCYTOSIS, FEVER AND ELEVATED LIVER TESTS
-80% OF HEPATIC ABSCESSES IN US

A

PYOGENIC

65
Q

-BENIGN SOLID LIVER MASS
-CENTRAL FIBROUS SCAR (HALLMARK SIGN)
-“STEALTH LESION”
-CENTRIFUGAL LESION

A

FOCAL NODULAR HYPERPLASIA

66
Q

-CHILDBEARING AGE
-ORAL CONTRACEPTIVE PILLS AND OTHER ESTROGENS
-ASSOCIATED WITH GSD
-PT MAY PRESNT WITH PAIN D/T TUMOR HEMORRAGE
-CENTRIPETAL ENHANCEMENT

A

HEPATIC ADENOMAS

67
Q

-HYPERECHOIC MASS
-PROP. SPEED ARTIFACT

A

HEPATIC LIPOMA

68
Q

-MOST COMMON PRIMARY** MALIGNANCY
-ELEVATED AFP
-SINGLE MASS LESION OR DIFFUSE MAKES IT HARD TO DIFFERENTIATE

A

HCC

69
Q

* LIVER _____ IS THE MOST COMMON LIVER MALIGNANCY WHILE ____ IS THE MOST COMMON PRIMARY* LIVER MALIGNANCY

A

METS AND HCC

70
Q

MALIGNAT LIVER NEOPLASM OCCURING IN INFANTS AND CHILDREN

A

HEPATOBLASTOMAS

71
Q

PT(INR), PTT AND PLATLETS ARE MONITORED PRIOR TO AN INVASIVE PROCEDURE TO INSURE PROPER ______

A

CLOTTING

72
Q

METS;
HYPER= GI TRACT
HYPO= LYMPHOMA
BULLS EYE/TARGET=LUNGS
CALCIFIED=MUCINOUS ADENOCARCINOMA
CYSTIC=LEIOMYOSARCOMA

A