liver masses Flashcards
delete
delete
how are benign liver legions diagnosed
USS
what is seen on USS Of haemangiomas (liver)
hyperechoic (hypervascular legions)
who normally gets liver cell adenomas
woman 30-50
what medications is linked to liver cell adenoma
COCP
what predisposes liver abscesses
biliary sepsis
symptoms liver abscess
RUQ // fever // jaundice
where doe amoebic abscess’ usually form
right love
what does aspiration of amoebic abcess show
sterile, odourless fluid with a paste consistency
mx of amoebic abscess
metronidazole
what causes hyatid liver cysts
echinococcus infection
bloods of hyatid liver cysts
LFTs + eosinophilia
what usually causes pyogenic (pus producing) liver abscess in children vs adults
kids = Staph A // adults = e. coli
what are the leading causes of hepatocellular carcinoma (4)
Hep B + C // alcohol // haemochromatosis // PBC
symptoms of hepatocellular carcinoma
chronic liver disease // jaundice // ascites // hepatomegaly // RUQ PAIN
tumour marker hepatocellular carcinoma
AFP
how is hepatocellular carcinoma screened
USS +/- AFP
who is screnned for hepatocellular carcinoma
cirrhosis secondary to hep B/C // haemochromatosis // alcohol
mx of hepatoceullar carcinoma (3)
resection // transplant // ablation
what is carcinoid syndrome
liver mets release seritonin (also seen with lung carcinoid)
symptoms of carcinmoid syndrome (5)
flushing // diarrhoea // bronchospasm // low bp // right heart valvular stenosis
what endocrine hormones can carcinoid tumours increase
ACTH (cushings) and GNRH
what deficiency can develop in carcinoid tumours
pellegra
invx carcinoid tumours
urinary 5-HIAA // plasma chromagnin A
which vessels are connected in TIPPS
hepatic + portal vein
cause Hydatid cysts
tapeworm Echinococcus granulosus –> type 1 hypersensitivity
features Hydatid cysts
cysts in liver + lung // biliary colic + jaundice + urticaria
invx Hydatid cysts
USS –> CT // serology
mx Hydatid cysts
surgery (do not rupture cysts)