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Surgery > Liver > Flashcards

Liver Flashcards

0
Q

Ductus venous connects

A

Portal vein and inferior vena cava

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1
Q

The quadrate and caudate lobes are functionally part of wc side of the liver

A

Left

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2
Q

Aka hilum of liver

A

Porta hepatis

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3
Q

The hepatoduodenal ligament contains?

A

Portal triad

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4
Q

Occlusion of hepatoduodenal ligament (technique)

A

Pringle maneuver

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5
Q

Only clotting factor not found in the liver

A

Factor VIII

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6
Q

Caudate lobe is drained by te

A

IVC

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7
Q

Assessment of hepatic reserve

A

Child Turcotte Pugh Score

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8
Q

Parameters in child pugh score

A

Nutrional status, ascites, enceph, bilirubin, albumin, PT

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9
Q

Normal portal pressure

A

5-10 mmHg

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10
Q

pressure necessary for varices to form and bleed

A

> 12

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11
Q

Medical prevention of varices

A

Beta blockers

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12
Q

Preferred agent for pharmacologic therapy of varices

A

Octreotide

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13
Q

When is TIPS ised

A

Esophageal varices- child B and C (A- surgical shunt)

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14
Q

Congestive hepatopathy characterized by obstruction to hepatic venous flow

A

Budd chiari syndrome

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15
Q

Aka ecks fistula

A

End to side portacaval anastamosis

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16
Q

Aka warren shunt

A

Distal splenorenal shunt

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17
Q

Dx and TX for budd chiari

A

Hepatic venography; systemic anti coagulation

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18
Q

Most common symptom and indication for resection

A

Hemangioma

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19
Q

Mgmt for hemangioma

A

Enucleation or resection

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20
Q

Clearest risk factors for adenoma

A

Oral contraceptive use

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21
Q

Mgmt for adenoma

A

Resectiont

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22
Q

Mgmt for nodular hyperplasia mgmt

A

Symptomatic:resect; asynp: observe

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23
Q

Most common malignant liver tumor

A

Metastatic

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24
Aka klatskin tumor
Extrahepatic proximal(hilar) cholangiocarcinoma
25
Mgmt for cholangiocarcinoma
Resection- gold standard'
26
Roux en y hepaticojejunostomy is usually for
Cholangiocarcinoma
27
Cystic artery is a branch of
Right hepatic artery
28
Gallbladder lacks what layers
Mucosa and submucosa
29
direct communication between liver and GB
Duct of Luschka
30
Stone size that may carry a risk for GB CA
>3cm
31
Brown pigment stones are usually due to
Cholangitis
32
Most common choledochal cyst
Fusiform
33
Abdominal pain, jaundice, mass
Choledochal culust
34
Caroli's disease
Type 5 choledochal cyst
35
Management for sclerosing cholangtis
Liver transplant
36
Size of gallbladder polyp with malignant potential
>1cm
37
Most common gallbladder carcinoma
Adenocarcinoma
38
Klatskin tumor
Perihilar cholangiocarxcinoma
39
Most important factor determining resectability of bile duct carcinoma
Proximal extent (klatskin tumor)
40
Main pancreatic duct
Witsung
41
Accessory duct
Santorini
42
Most common congenital anomaly of the pancreas
Pancreas divisum
43
Tx for pancreas divisun
Sphincterotomy(enlarge duct of santorini)
44
Tx for annular pancreas
Duodenoduoenostomy - bypass(proximal small intestinal obstruction)
45
Most important and largest blood supply of pancreas
Splenic artery
46
Most common cause of death of acute pancreatitis
Sepsis
47
Cut off sign and reverse 3 or inverted 3 sign
Acute pancreatitis
48
Diagnostic gold standard for acute pancreatitis
Abdominal Ct scan
49
50% mortality with ranson score of
>7
50
Puestow Gillesby procedure
Chronic pancreatitis (roun en y pancreaticojejunostomy)
51
Generally a helpful imaging technique for the pancreas
CT scan
52
Resectability of liver
Liver end playe
53
Pancreas is inresectable if what is involved
SMA
54
Rule of 6
Pseudocyst of pancreas: >6cm >6 weeks: drain!
55
Pancreatic tumors etiology
Smoking
56
Most common pancreatic tumor
Adenocarcinoma
57
Only definitive and potentially curative tx of periampullary carcinoma
Whipple'a surgery
58
Whippled triad
Symptomatic fastinf hypoglycemia, serum glucose <50, relief of symptoms with glucose administration
59
Mgmt for insulinoma
Simple enucleation
60
Tx for VIPoma
Debulking as palliative tx
61
Mgmt for glucagonoma
Debulking
62
Whipples triad is performed on insulinoma only if
It is close to the main pancreatic duct

Surgery (12 decks)

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