Liver Flashcards

1
Q

What is U/S best at determining?

A

Focal vs. diffuse disease

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2
Q

When is ultrasound preferred?

A

In patients with large accumulation of peritoneal fluid or those patients with larger fat stores, i.e. cachexia or young patients

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3
Q

When are radiographs preferred?

A

In patients with a lot of GI tract gas, food in the GI tract, or peritoneal gas

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4
Q

T/F: Often the results of the radiographs and ultrasound are non-specific

A

TRUE

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5
Q

If disease is suspected and no radiographic or ultrasonographic changes found, then what?

A

Usually an ultrasonographic guided biopsy is indicated

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6
Q

What is the largest organ within the cat and dog?

A

Liver

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7
Q

T/F: Liver lobes are usually not visible in the dog and cat

A

TRUE

*Exception: the lobe that points caudoventrally on the lateral projection (L lateral in dog, R lateral in cat)

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8
Q

T/F: Individual liver lobes cannot be seen ultrasonographically

A

FALSE–they can be seen

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9
Q

What does the cranial margin of the liver silhouette with?

A

Diaphragm

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10
Q

The R and L margin of the liver blend in with the abdominal body wall unless there is ___ present

A

Fat

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11
Q

Which margin of the liver is often delineated due to the falciform fat?

A

Ventral margin

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12
Q

What aspect is always difficult to see? Why?

A

Caudal aspect–due to summation, silhouetting, and superimposition of the adjacent organs

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13
Q

What does the uniform soft tissue caudal to lungs extend to on the lateral view?

A

Costal arch

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14
Q

What is the gastric axis?

A

Line drawn through the fundus to the pylorus

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15
Q

What should the gastric axis be parallel/perpendicular to?

A

Should be parallel with the ribs and perpendicular to the spine

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16
Q

On ventrodorsal view the gastric axis is located over the ____ thoracic vertebrae

A

10th-12th

17
Q

Is there something wrong with this radiograph?

A

Nope! The gastric axis is within the reference lines

18
Q

What might be seen on a radiograph of an enlarged liver?

A
  • May displace gastric axis caudally
  • May extend past costal arch
  • Pyloris may move medially on VD
  • Inc. soft tissue opacity cranially
19
Q

What might be seen on a radiography of a small liver?

A
  • Gastric axis is cranially displaced
  • Reduced soft tissue opacity cranial abdomen
20
Q

T/F: Liver may appear enlarged if lungs are over-inflated due to dyspnea and pleural effusion

A

TRUE

21
Q

T/F: Liver may appear small in diaphragmatic hernias or deep-chested dogs

A

TRUE

22
Q

Is it possible for the spleen to slide between the liver and stomach?

A

YES

23
Q
A