Liver Pathologies

Question 0

Patient demographics of Fatty Liver?

Answer 0

~History of advance Hepatitis ~Alcoholic (ETOH)

~Diabetes ~Obesity

~Pregnancy

Question 1

What is a fatty liver?

Answer 1

Can be a syndrome of liver damage. It is the collection or build up of fatty/lipped deposits in the cells of the liver (causing more attenuation).

Question 2

Clinical indications of Fatty Liver?

Answer 2

Asymptomatic but may…

~Nausea & vomiting ~Mild Jaundice

~RUQ Pain

Question 3

Scanning considerations of Fatty Liver?

Answer 3

High attenuation (fussy with depth)

Hyperechoic to kidney

Focal fatty infiltrate: (Islands of hyperechoic/fatty tissue in a sea of normal liver tissue)

focal fatty sparing: (islands of hypoechoic/normal tissue in a sea of hyperechoic/fatty liver)

Low viability of portal vein walls

Question 4

Scanning considerations of fatty liver?

Answer 4

Compare liver echogenisity with the cortex of kidney

Question 5

What is Acute Hepatitis?

Answer 5

Is the inflammation of the liver due to a virus.

Question 6

Patient demographics of Acute Hepatitis

Answer 6

History of hepatitis

~IV drug use

~Blood transfusion