Liver Flashcards
What is the venous supply to the liver
Portal vein
(formed from the splenic vein and the superior mesenteric vein)
From what sources does the liver receive blood
Portal system = 75%
Hepatic artery system = 25%
What does the MELD score stand for
Model for End stage Liver Disease
What is the most common liver cancer
Metastatic disease
(primary site is usually the GI tract)
removal of the right lobe of the liver
(all tissue to the right of Cantle’s line is removed)
Right Hepatic Lobectomy
Removal of the left lobe of the liver
(removal of all the liver tissue to the left of Cantle’s line is removed)
Left Hepatic Lobectomy
Removal of all the liver tissue to the right of the falciform ligament
Right trisegmentectomy
Benign vascular tumor of the liver
Hepatic Hemangioma
Should a hepatic hemangioma be biopsy
No - risk of hemorrhage
Elevated portal pressure resulting from resistance to portal flow
Portal Hypertension
Most common cause of portal hypertension
Cirrhosis
What is the most common physical finding in patients with portal hypertension
Splenomegaly
4 associated clinical findings in portal hypertension
Esophageal varices
Splenomegaly
Caput medusae (engorgement of periumbilical veins)
Hemorrhoids
Tube with a gastric and esophageal balloon for tamponing an esophageal bleed
Sengstaken-Blakemore tube
What does the acronym TIPS stand for
Transjugular Intrahepatic Portosystemic Shunt
