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Abdomen ultrasound > Liver > Flashcards

Liver Flashcards

1
Q

What benign liver lesion is most associated with contraceptive use?

A

Adenoma

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2
Q

What are the CP and SF of hepatitis?

A

Fever, chills, marked increase AST, ALT, bilirubin - normal-appearing liver, increased portal wall echogenicity

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3
Q

Most common and second most common benign liver lesion?

A
  1. hemangioma 2. FNH
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4
Q

Sonographic features of FNH

A

hyperechoic/isoechoic, hypoechoic central stellate scar, peripheral and central blood flow, well defined margins

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5
Q

Is focal fatty sparing hypo or hyperechoic?

A

HYPOechoic

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6
Q

is focal infilatration hypo or hyperechoic?

A

HYPERechoic

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7
Q

Increases the risk of cirrhosis, portal HTN, and HCC

A

Hepatitis

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8
Q

Fecal oral route hepatitis

A

Hep A

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9
Q

contact with contaminated body fluid hepatitis

A

hep B

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10
Q

What is periportal cuffing and when is it found?

A

increased echogenicity of portal triads with hepatitis - “starry sky”

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11
Q

dark urine, elevated LFT, jaundice, fever, fatigue, chills are CP of what?

A

hepatitis

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12
Q

tapeworm from dog feces

A

hydatid/echinococcal

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13
Q

tumor marker for HCC and hepatoblastoma is?

A

AFP

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14
Q

most common mets to liver

A

colon, panc, breast, lung, GB, stomach

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15
Q

target or bulls-eye lesion

A

hepatic mets

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16
Q

liver pathology assossicated with Beckwith-Wiedemann syndrome

A

Hepatoblastoma

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17
Q

budd chiari leads to a reduction in the size of the

A

hepatic veins

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18
Q

m/c symptomatic pediatric vascular liver tumor

A

hemangioendothelioma

19
Q

Fibrolamellar HCC

A
  • better prognosis than HCC
  • SF include calcs unlike HCC
  • AFP values are NORMAL
  • NO increased risk factors
20
Q

recanalized paraumbilical vein is seen with which pathology?

A

Portal hypertension

21
Q

Flow directions in the R/L portal veins with a TIPS

A

hepatoFugal

22
Q

A recanalized paraumbilical vein will have flow in which direction?

A

hepatoFugal

23
Q

a decrease in serum albumin suggests?

A

HCC

24
Q

flow in the MPV is described as

A

phasic

25
Q

caudate lobe enlargement is seen with which pathology?

A

cirrhosis

26
Q

dark urine is found with which liver disease

A

hepatitis

27
Q

True or false: Cavernous hemangiomas are hormone dependant

A

TRUE

28
Q

True or false: Hemangioma, adenoma’s and FNH are all hormone dependant?

A

TRUE

29
Q

True or false: hemangiomas cause a speed error artifact

A

FALSE

30
Q

True false: Live Lipomas can cause a speed error artifact?

A

TRUE

31
Q

true or false: calcifications are a common SF of HCC

A

FALSE

32
Q

true or false: fibrolamellar carcinoma is encapsulated

A

TRUE

33
Q

characteristics of hepatoblastoma

A
  • increase AFP
  • SF: calcs, ill defined, mixed echogenicities
  • CP: failure to thrice, fever, anemia, jaundice
34
Q

This is a common FUNGAL opportunistic infection in AIDs patients, CP’s are difficulty breathing, ever, dry cough. SF are: diffuse, tiny non-shadowing echo foci

A

Pneumocystis carinii

35
Q

Pyogenic abscesses are fungal, parasitic or bacterial?

A

bacterial

36
Q

Candidiasis and Pneumocystis carinii are fungal, parasitic or bacterial?

A

fungal

37
Q

Amebiasis, hydatid, schistosomiasis are fungal, parasitic or bacterial?

A

parasitic

38
Q

a positive indirect hemagglunation test is present in a patient with which pathology?

A

Amebiasis parasite

39
Q

a child presents with convulsions, hypoglycemia, nose bleeds, lethargy what is the diagnosis based on these CP’s?

A

Glycogen storage disease - has SF of cirrhosis

40
Q

ascites, GI bleeding, splenomegaly, varices are CP of what pathology?

A

Portal hypertension

41
Q

ALP might be elevated with which pathologies?

A

cirrhosis, hepatitis, gallstones, mets

42
Q

ALT may be elevated with which pathologies?

A

hepatitis, obstructive jaundice

43
Q

AST may be elevated with which patholgies?

A

cirrhosis, fatty liver, hepatitis, mets

44
Q

describe facts about Liver adenomas

A

rare, increased with birth control, can become malignant, non-specific sono appearance

Abdomen ultrasound (9 decks)

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