LIVER 2 Flashcards
fibrolamellar HCC affects who
teenagers and young adults
lab findings for fibrolamellar HCC
AFP normal or mildly elevated
Fibrolamellar HCC clinical presentation (6)
Abdominal pain
Mass, fever, weight loss
Diarrhea
Vomiting
fibrolamellar HCC sono features (3)
Solitary, well-marginated
Variable echogenicity
Focal calcifications
Mesenchymal Sarcoma age
5- 10 year olds
Mesenchymal Sarcoma indications (3)
- abdominal pain, swelling
- palpable mass
- normal AFP
Mesenchymal Sarcoma sono features (3)
- single
- round, well-defined
- variable echogenicity with anechoic/cystic spaces creating enhancement
metastases usually associated with (4)
Neuroblastoma – most common cause
Wilm’s Tumor
Leukemia
Lymphoma
almost all cases of hepatitis are
viral
symptoms of hepatitis (5)
Hepatomegaly with pain
Jaundice
Nausea, fever, loss of appetite
chronic hepatitis can lead to (3)
cirrhosis
liver damage
cancer
liver abscess result from
neonatal infection from the ubilicus or umbilical veins
abscess is seeded into liver through (2)
portal or umbilical vein
three types of abscess
amebic, pyogenic, fungal
amebic abscess affects
children in areas where drinking water is contaminated and sanitation is poor
Entamoeba histolytica
amebic abscess accesses the liver through
colon through portal system
lab findings of amebic abscess
- mild ↗ LFTS
- anemia
- leukocytosis
clinical presentation of amebic abscess
- abdo distention
- fever, RUQ pain
sono features of amebic abscess
- hypoechoic spherical lesion
- right lobe is more common
pyogenic abscess common in ____ children and what is common bacteria
Immunocompromised
E.coli
sono features of pyogenic abscess (4)
- 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
fungal abscess common in ____ children and what is common bacteria
Immunocompromised children
Candida albicans
fungal abscess sono features
multiple small lesions
irregular walls
round and hypoechoic
target or wheel within a wheel appearance
