LIVER Flashcards
FUNCTIONS: -BILE
-METABOLISM OF FATS,PROTIEN,CARBS
-STORAGE OF GLYCOGEN,VITAMINS,MINERALS
-BLOOD DETOX
-SYNTHESIS OF PLASMA PROTEINS (ALBUMIN)
LIVER
RIGHT AND LEFT LOBES DIVIDES BY PLANE BETWEEN THE ____ AND ____
GB AND IVC
BLOOD SUPPLY
RT LOBE=
LT LOBE=
CAUDATE=
RPV
LPV
BOTH PV
CAUDATE LOBE LIES ON THE POST-SUP SURFACE BETWEEN THE ____ AND ______ ____ ______
IVC AND MEDIAL LEFT LOBE
IVC ENLARGMENT=
CAUDATE COMPRESSED
HEPATIC VEINS COURSE BETWEEN LOBES OF _________
SEGMENTS
THE PORTAL TRIAD ENCASED BY ______ ______ GIVING HYPERECHOIC WALLS
GLISSONS CAPSULE
MAIN LOBAR FISSURE DIVIDES _____&_______ LOBES BY IVC AND GB FOSSA
RIGHT AND LEFT
RT LOBE DIVIDES INTO ____&_____ SEGMENTS
ANTERIOR AND POSTERIOR
LT LOBE DIVIDES INTO ______&_______SEGMENTS
MEDIAL AND LATERAL
-REMANENT OF DUCTUS VENOSUM
-SEPARATES LT LOBE FROM CAUDATE
LIGAMENTUM VENOSUM
-REMANENT OF UMB V
LIGAMENTUM TERES
IN PORTAL HYPERTENSION LIGAMENTEM ______ RECANALIZES TO FORM COLLATERALS
TERES
______ IS A DIFFUSE PROCESS OF FIBROSIS AND DISTORTION OF THE NORMAL LIVER.
CIRRHOSIS
MOST COMMON CAUSE OF CIRRHOSIS
HEP C
CIRRHOSIS IS THE MAJOR CAUSE OF _____ ________
PORTAL HYPERTENSION
INCREASED LIVER FUNCTIONS IN CIRRHOSIS ARE
AST(SGOT),GGT, ALT(SGPT), LDH,CONJUGATED BILIRUBIN
RT SIDED HEART FAILURE=
IVC ENLARGEMENT
-PTS PRESENT WITH UPPER GI BLEED FROM ESOPHAGEAL VARICES RUPTURING THAT EXTEND FROM THE RT AND LT GASTRIC (CORONARY V)
PORTAL HYPERTENSION
TORTOUS COLLATERALS AROUND UMBILICUS
CAPUT MEDUSA
-PLACED TO LOWER PV PRESSURE AND AVOID RUPTURE OF VARICES AND DECREASE ASCITES
TIPS
TIPS IS PLACED BETWEEN A _______ AND ______
HEPATIC V AND PORTAL V (TYPICALLY THE RHV AND RPV)
INDICATIONS FOR LIVER TX
ADULTS= IRREVERSABLE _______
CHILDREN= _______ ______
CIRRHOSIS
BILIARY ATRESIA
TUMORAL CAUSES OF PV THROMBOSIS
HCC,METS,PANCREATIC CARCINOMA
NONTUMORAL CAUSES OF PV THROMBOSIS
CIRRHOSIS, PANCREATITIS, IBS, TRAUMA, PORTAL LYMPHADENOPATHY
MULTIPLE WORM LIKE COLLATERALS PARALLEL TO PV
CAVERNOUS TRANSFORMATION
OBSTRUCTED HEPATIC V AND POSSIBLY IVC
-CAUDATE LOBE IS SPARED BECAUSE OF EMISSARY V,LOBE ENLARGES WITH ATROPHY OF RT AND LT LOBES
BUDD CHAIRI
IN INFANTS, INTRAHEPATIC PV GAS IS DUE TO ________ _________
NECROTIZING ENTERCOLITIS
A HEMORRHAGIC CYST WILL APPER WITH RUQ PAIN,INTERNAL ECHOES, AND _________ HEMATOCRIT
DECREASING