LIVER 2 Flashcards

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1
Q

fibrolamellar HCC affects who

A

teenagers and young adults

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2
Q

lab findings for fibrolamellar HCC

A

AFP normal or mildly elevated

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3
Q

Fibrolamellar HCC clinical presentation (6)

A

Abdominal pain
Mass, fever, weight loss
Diarrhea
Vomiting

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4
Q

fibrolamellar HCC sono features (3)

A

Solitary, well-marginated
Variable echogenicity
Focal calcifications

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5
Q

Mesenchymal Sarcoma age

A

5- 10 year olds

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6
Q

Mesenchymal Sarcoma indications (3)

A
  • abdominal pain, swelling
  • palpable mass
  • normal AFP
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7
Q

Mesenchymal Sarcoma sono features (3)

A
  • single
  • round, well-defined
  • variable echogenicity with anechoic/cystic spaces creating enhancement
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8
Q

metastases usually associated with (4)

A

Neuroblastoma – most common cause
Wilm’s Tumor
Leukemia
Lymphoma

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9
Q

almost all cases of hepatitis are

A

viral

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10
Q

symptoms of hepatitis (5)

A

Hepatomegaly with pain
Jaundice
Nausea, fever, loss of appetite

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11
Q

chronic hepatitis can lead to (3)

A

cirrhosis
liver damage
cancer

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12
Q

liver abscess result from

A

neonatal infection from the ubilicus or umbilical veins

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13
Q

abscess is seeded into liver through (2)

A

portal or umbilical vein

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14
Q

three types of abscess

A

amebic, pyogenic, fungal

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15
Q

amebic abscess affects

A

children in areas where drinking water is contaminated and sanitation is poor
Entamoeba histolytica

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16
Q

amebic abscess accesses the liver through

A

colon through portal system

17
Q

lab findings of amebic abscess

A
  • mild ↗ LFTS
  • anemia
  • leukocytosis
18
Q

clinical presentation of amebic abscess

A
  • abdo distention

- fever, RUQ pain

19
Q

sono features of amebic abscess

A
  • hypoechoic spherical lesion

- right lobe is more common

20
Q

pyogenic abscess common in ____ children and what is common bacteria

A

Immunocompromised

E.coli

21
Q

sono features of pyogenic abscess (4)

A
  • discretely marginated hypoechoic structures with enhancement
  • can also be complex hyperechoic with poorly defined walls
  • if contains gas – shadowing and reverberation artifacts
  • bull’s eye appearance
22
Q

fungal abscess common in ____ children and what is common bacteria

A

Immunocompromised children

Candida albicans

23
Q

fungal abscess sono features

A

multiple small lesions
irregular walls
round and hypoechoic
target or wheel within a wheel appearance