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ARDMS > LIVER > Flashcards

LIVER Flashcards

1
Q

The additional anatomic lobe is called

A

Quadrate lobe

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2
Q

3 hepatic lobes are

A

right, left, caudate

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3
Q

The right lobe can be divided into ___ and ___ segments by the ___ hepatic vein

A

anterior, posterior. Right.

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4
Q

The left lobe can be divided into __ and __ segments by the __hepatic vein

A

Medial, lateral. Left (ligamentum teres and falciform ligament)

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5
Q

The right lobe is separated from the left lobe by the

A

Middle hepatic vein (main lobar fissure) gb fossa

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6
Q

Smallest hepatic lobe

A

Caudate lobe

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7
Q

Caudate lobe is separated by the left lobe by the

A

ligamentum venosum

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8
Q

The medial segment of the left lobe may be referred to as the

A

Quadrate lobe

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9
Q

The normal MPV measures less than

A

13 mm (1.3 cm) AP

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10
Q

Enlargement of the portal vein is

A

portal hypertension

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11
Q

Normal flow within the mpv

A

Hepatopetal, monophasic

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12
Q

The main portal vein and hepatic artery supply

A

oxygenated blood to the liver.

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13
Q

Enlargement of the hepatic veins and ivc is seen with __ heart failure

A

right sided

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13
Q

Hepatic veins have __ blood flow

A

triphasic

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14
Q

Occlusion or narrowing of the hepatic veins is

A

Budd-Chiari syndrome.

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15
Q

The porta hepatis includes :

A

MPV, CBD, and hepatic artery

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16
Q

What sign indicated the porta hepatis

A

Mickey sign

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17
Q

After birth, the ductus venosus collapses and becomes the

A

ligamentum venosum

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18
Q

Tongue-like projection of the rt hepatic lobe

A

Riedel lobe

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19
Q

Hepatomegaly is often suspected if the liver measures above

A

15.5 cm

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20
Q

An increase in conjungated (direct) bilirubin tends to be associated with

A

gallstones/ pancreatic mass

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21
Q

Unconjugated (indirect) bilirubin tends to increase in the presence of

A

Hepatocellular disease (hepatitis, cirrhosis)

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22
Q

Fatty liver disease is aka

A

Hepatic steatosis

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23
Q

Inflammation of the liver that can lead to cirrhosis, portal hypertension, and HCC

A

Hepatitis

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24
Q

Hepatitis types and most common

A

A,B,C,D,E,G (A,B)

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25
Q

What sign is associated with hepatitis

A

Starry sky sign

26
Q

Increase in echogenicity of the walls of the portal triads

A

Periportal cuffing

27
Q

The most common cause of cirrhosis is

A

alcoholism

28
Q

Pathway of liver disease

A

alcoholism -> hepatic steatosis (fatty liver) -> steatohepatitis -? cirrhosis -> portal hypertension -> PV thrombosis -> hepatocellular carcinoma

29
Q

The most common cause of portal hypertension is

A

cirrhosis

30
Q

normal flow towards the liver

A

hepatopetal flow

31
Q

Elevation of BP within the portal venous system

A

Portal hypertension

32
Q

The most common cause of portal hypertension is

A

Cirrhosis

33
Q

Most common sonographically indentifiable collaterals in portal hypertension is

A

recanalization of the paraumbilical vein (patent umbilical vein)

34
Q

With portal hypertension , the mpv will measure above

A

13 mm .. 1.3 cm.

35
Q

If cirrhosis is suspected, analyze the ___ for evidence of ___

A

left portal vein, recanalization of paraumbilical vein

36
Q

Occlusion of the hepatic veins

A

Budd-chiari syndrome

37
Q

Hepatic cysts are associated with

A

autosomal dominant polycystic kidney disease

38
Q

a cyst within a cyst

A

mother / daughter cyst

39
Q

The most common BENIGN liver tumor

A

Cavernous hemangioma

40
Q

Cavernous hemangiomas are most commonly found

A

in women in the right lobe

41
Q

Cavernous hemangiomas look

A

hyperechoic

42
Q

The SECOND most common BENIGN liver tumor

A

Focal nodular hyperplasia (FNH)

43
Q

Rare hyperechoic liver lesions

A

Lipomas

44
Q

Rare benign liver tumor associated with oral contraceptive use

A

Hepatocellular adenoma

45
Q

Consequence of trauma/surgery

A

Hepatic hematoma

46
Q

The most common primary form of liver cancer

A

Hepatocellular carcinoma

47
Q

The tumor marker for hepatocellular carcinoma is

A

AFP - alphafeta protein - elevated

48
Q

Mass with a hypoechoic halo and central echogenic portion (target , bulls eye)

A

HCC

49
Q

Not caused by oral contraceptive use, but it is estrogen dependent and can grow as a result of contraceptive use

A

FNH

50
Q

The most common form of liver cancer

A

hepatic metastasis

51
Q

The most common primary form of liver cancer which means it develops in the liver

A

HCC

52
Q

The most common cancer discovered in the liver is ___ from some other primary location

A

metastasis

53
Q

The malignant cells from other sites enter the liver through the

A

portal veins

54
Q

The second most common benign liver tumor

A

Focal Nodular Hyperplasia

55
Q

FNH has been referred to as __ lesion because it is difficult see see on u/s

A

stealth lesion

56
Q

TIPS is located between the

A

rt PV, and rt HV

57
Q

Most common benign liver childhood tumor

A

infantile hemangioendothelioma

58
Q

Most common malignant tumor for children

A

hepatoblastoma

59
Q

Most common disease requiring a liver transplant

A

HEP c

60
Q

The liver attached end to end to the native PV and HA is termed

A

anastomosis

61
Q

HCC is AKA

A

Hepatoma

62
Q
A

ARDMS (2 decks)

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