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FINALS - GI > liver masses > Flashcards

liver masses Flashcards

1
Q

delete

A

delete

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2
Q

how are benign liver legions diagnosed

A

USS

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3
Q

what is seen on USS Of haemangiomas (liver)

A

hyperechoic (hypervascular legions)

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4
Q

who normally gets liver cell adenomas

A

woman 30-50

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5
Q

what medications is linked to liver cell adenoma

A

COCP

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6
Q

what predisposes liver abscesses

A

biliary sepsis

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7
Q

symptoms liver abscess

A

RUQ // fever // jaundice

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8
Q

where doe amoebic abscess’ usually form

A

right love

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9
Q

what does aspiration of amoebic abcess show

A

sterile, odourless fluid with a paste consistency

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10
Q

mx of amoebic abscess

A

metronidazole

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11
Q

what causes hyatid liver cysts

A

echinococcus infection

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12
Q

bloods of hyatid liver cysts

A

LFTs + eosinophilia

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13
Q

what usually causes pyogenic (pus producing) liver abscess in children vs adults

A

kids = Staph A // adults = e. coli

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14
Q

what are the leading causes of hepatocellular carcinoma (4)

A

Hep B + C // alcohol // haemochromatosis // PBC

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15
Q

symptoms of hepatocellular carcinoma

A

chronic liver disease // jaundice // ascites // hepatomegaly // RUQ PAIN

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16
Q

tumour marker hepatocellular carcinoma

A

AFP

17
Q

how is hepatocellular carcinoma screened

A

USS +/- AFP

18
Q

who is screnned for hepatocellular carcinoma

A

cirrhosis secondary to hep B/C // haemochromatosis // alcohol

19
Q

mx of hepatoceullar carcinoma (3)

A

resection // transplant // ablation

20
Q

what is carcinoid syndrome

A

liver mets release seritonin (also seen with lung carcinoid)

21
Q

symptoms of carcinmoid syndrome (5)

A

flushing // diarrhoea // bronchospasm // low bp // right heart valvular stenosis

22
Q

what endocrine hormones can carcinoid tumours increase

A

ACTH (cushings) and GNRH

23
Q

what deficiency can develop in carcinoid tumours

A

pellegra

24
Q

invx carcinoid tumours

A

urinary 5-HIAA // plasma chromagnin A

25
Q

which vessels are connected in TIPPS

A

hepatic + portal vein

26
Q

cause Hydatid cysts

A

tapeworm Echinococcus granulosus –> type 1 hypersensitivity

27
Q

features Hydatid cysts

A

cysts in liver + lung // biliary colic + jaundice + urticaria

28
Q

invx Hydatid cysts

A

USS –> CT // serology

29
Q

mx Hydatid cysts

A

surgery (do not rupture cysts)

FINALS - GI (18 decks)

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