Liver - Part 4 Flashcards

1
Q

What is the cause of cysts? (2)

A
  1. Acquired secondary to parasitic infection, inflammation, or trauma
  2. True cyst is caused by a weakening of a bile ductile
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2
Q

What are clinical findings of cysts? (2)

A
  1. Asymptomatic

2. Dull RUQ pain

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3
Q

What is the US appearance of cysts? (6)

A
  1. Anechoic
  2. Round- or oval-shaped mass
  3. Well-defined
  4. Smooth wall margins
  5. Posterior acoustic enhancement
  6. May contain septations or low-level internal echoes
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4
Q

Cystadenoma

A

Benign neoplasm containing cystic structures within the lesion

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5
Q

What is cystadenoma most common in?

A

Middle-aged women

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6
Q

What are clinical findings for cystadenoma? (2)

A
  1. Hepatomegaly

2. Palpable RUQ mass

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7
Q

What is the US appearance of cystadenoma? (4)

A
  1. Multiloculated cystic mass
  2. Well-defined margins
  3. Thin septations demonstrating thin wall margins
  4. Thick septations or mural nodules are suspicious for malignancy
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8
Q

Who is polycystic disease more common in?

A

Middle aged females

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9
Q

What are the clinical findings of polycystic disease? (4)

A
  1. Asymptomatic
  2. Hepatomegaly
  3. Palpable RUQ mass
  4. RUQ pain
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10
Q

What are 3 types of abcesses?

A
  1. Amebic
  2. Fungal
  3. Pyogenic
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11
Q

What is the most common cause of an abscess?

A

Ascending cholangitis

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12
Q

What are the causes of an abscess? (4)

A
  1. Recent travel abroad
  2. Biliary infection
  3. Appendicitis
  4. Diverticulitis
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13
Q

What are the clinical findings for an abscess? (6)

A
  1. Abdominal pain
  2. Fever and chills
  3. Leukocytosis
  4. Elevated alkaline phosphatase
  5. Jaundice
  6. Hepatomegaly
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14
Q

What is the US appearance for an abscess? (5)

A
  1. Complex mass
  2. Oval or round shape
  3. Irregular wall margins
  4. Usually solitary
  5. Posterior acoustic enhancement
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15
Q

Which lobe of the liver are abscesses most common in?

A

The right lobe

- 80%

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16
Q

What kind of infection is candidiasis?

A

Fungal

17
Q

What are clinical findings for candidiasis? (3)

A
  1. Abdominal pain
  2. Fever and chills
  3. Palpable liver
18
Q

Who is candidiasis common in?

A

Immune-suppressed patients

19
Q

What is the US appearance of candidiasis? (5)

A
  1. Uniformly hypoechoic lesions within the liver parenchyma
  2. Thick wall margins
  3. Hepatomegaly
  4. May demonstrate a target or “wheel within a wheel” appearance
  5. Hyperechoic lesions with posterior acoustic shadowing
20
Q

What causes echinococcal cyst?

A

Recent travel to underdeveloped countries

21
Q

What are the clinical findings of echinococcal cyst? (5)

A
  1. RUQ pain
  2. Leukocytosis
  3. Fever
  4. Hepatomegaly
  5. Elevated alkaline phosphatase
22
Q

What is the US appearance of echinococcal cyst? (6)

A
  1. Septated cystic mass (honeycomb)
  2. Mobile internal echoes (snowflakes)
  3. Cyst containing smaller cysts (daughter cysts)
  4. Collapsed cyst within a cyst (water lily sign)
  5. Round or oval shape
  6. Smooth wall margins
23
Q

What is hepatitis B transmitted by?

A

Inoculation of infected blood or body fluids

24
Q

What does hepatitis B increase the risk of developing?

A

Hepatoma

25
Q

How is hepatitis C transmitted?

A

Blood transfusion or “dirty” needle

26
Q

What does hepatitis C increase the risk of developing? (2)

A
  1. Cirrhosis

2. Hepatic neoplasm

27
Q

What are the clinical findings of hepatitis? (5)

A
  1. Fatigue
  2. Loss of appetite
  3. Fever and chills
  4. Nausea
  5. Non-obstructive jaundice
28
Q

What lab values are elevated with hepatitis? (3)

A
  1. Aspartate aminotransferase
  2. Alanine aminotransferase
  3. Bilirubin
29
Q

What is the US appearance of hepatitis? (6)

A
  1. Normal-appearing liver parenchyma
  2. Hypoechoic liver parenchyma
  3. Prominence of the portal veins (starry effect)
  4. Hepatomegaly
  5. Associated splenomegaly
  6. Increased parenchymal echogenicity in chronic cases