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Abdomen Review > Liver - Part 4 > Flashcards

Liver - Part 4 Flashcards

1
Q

What is fatty infiltration caused by?

A

Chronic hepatic injury

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2
Q

What is ratty infiltration a result from?

A

An accumulation of abnormal triglycerides and lipids

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3
Q

Can fatty infiltration be reversible?

A

Yes

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4
Q

What is the sonographic appearance of fatty infiltration? (4)

A
  1. Hyper echoic pocketed areas
  2. Diffuse
  3. Hard to see the posterior walls
  4. Varies in size
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5
Q

Is there an increase or decrease level of LFT with fatty infiltration?

A

Increase

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6
Q

What is the differential diagnosis of fatty infiltration? (4)

A
  1. Hemangioma
  2. Mets
  3. Cirrhosis
  4. Glycogen storage disease
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7
Q

What is the etiology of an abscess? (4)

A
  1. Biliary infection
  2. Appendicitis
  3. Diverticulitis
  4. Surgery
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8
Q

What are the sonographic features of an abscess? (3)

A
  1. Heterogenous
  2. Ill-defined
  3. Complexed
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9
Q

What are common signs with abscesses? (2)

A
  1. Fever

2. Inflammation

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10
Q

What is the differential diagnosis for abscesses? (5)

A
  1. Resolving hemangioma
  2. Complex cyst
  3. Cavernous hemangioma
  4. Echinococcal cyst
  5. Metastases
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11
Q

HCC

A

Hepatocellular carcinoma

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12
Q

What is another name for hepatocellular carcinoma?

A

Hepatoma

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13
Q

What is hepatoma associated with? (3)

A
  1. Glycogen storage diagnosis
  2. Wilsons diagnosis
  3. Hepatitis
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14
Q

What is the clinical presentation of HCC? (5)

A
  1. Sudden liver failure due to thrombosis of portals or HVs
  2. Hepatomegaly
  3. Pain
  4. GI bleeding, anemia
  5. Ascites
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15
Q

What lab values increase with hepatocellular carcinoma? (2)

A
  1. AFP

2. Hypohycemia

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16
Q

What are the sonographic features of hepatoma? (4)

A
  1. Solid hyperechoic mass involving the entire liver
  2. Well-defined or ill-defined borders
  3. Anechoic areas within mass from necrosis
  4. Hypo-anechoic halo around mass
17
Q

What does HCC look similar to?

A

Hepatoblastoma

18
Q

What is a subtype of HCC?

A

Fibrolamellar HCC

19
Q

Who does fibrolamellar HCC affect the most?

A

Teenagers/young adults

20
Q

What is the clinical presentation of fibrolamellar HCC? (6)

A
  1. Abdominal pain
  2. Mass
  3. Fever
  4. Weight loss
  5. Diarrhea
  6. Vomiting
21
Q

What are the sonographic featrues of fibrolamellar HCC? (4)

A
  1. Solitary
  2. Well-marginated
  3. Variable echogenicity
  4. Focal calcifications
22
Q

Is FNA of adenoma more common?

Abdomen Review (12 decks)

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