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Surgery > Liver Surgery > Flashcards

Liver Surgery Flashcards

1
Q

Cauinaud classification

A

Divides the liver into 8 different segment

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2
Q

Cantile’s line

A

Join the IVC to the GB fossa

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3
Q

Which structure divide the liver into left and right lobe !?

A

Portal vein > hepatic vein

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4
Q

Structure divide the left lobe into left lateral & medial !?

A

Falciform ligament

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5
Q

Independent segment of the liver

A

Segment 1

Subdivided into - segment 9 & spigelian lobe

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6
Q

Mickey mouse view on usg !?

A

Liver pedicle

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7
Q

Mc organism in world to cause pyogenic liver abscess !?

A

E coil

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8
Q

Mc organisms to cause pyrogenic liver abscess in india !?

A

Klebsiella

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9
Q

Mc organism in children with chronic granulomatous disease!?

A

Staphylococcus aureus

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10
Q

Pyogenic liver abscess mainly spread by …

A

Ascending cholangitis

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11
Q

IOC for the pyogenic & amoebic liver abscess !?

A

Usg/ CECT scan

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12
Q

Mc site for the amoebic liver abscess!?

A

Segment 7

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13
Q

Anchovy sauce pus ( chocolate) is feature of !?

A

Amoebic liver abscess

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14
Q

Flask shaped ulcer in bowel causative organism??

A

Entamoeba histolytica

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15
Q

Mx for the pyogenic liver abscess!?

A

Antibiotics ( penicillin, ahminoglycosides) + fails - aspiration ( pigtail catheter)

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16
Q

Mx for the amoebic liver abscess??

A

Metronidazole- medical tx fails - aspiration - pigtail catheter

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17
Q

Mc site of rupture of amoebic liver abscess!?

A

Subdiapharagmatic > pleural > peritoneal

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18
Q

Mc causative organism for the Hyatid disease!?

A

Echinococcus granulosus

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19
Q

Ioc for hyatid cyst !?

A

Usg

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20
Q

Ghabro classsification used for the !?

A

Hyatid cyst

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21
Q

Honeycomb cyst appear in which type according to who & Ghabri !?

A

CE2 / type 3 - honeycomb cyst

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22
Q

water lily / floating membrane sign !?

A

CE3A / type 2

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23
Q

Mx for the hyatid cyst !?

A

PAIR

PA - percutaneous aspiration

I - injection

R - Respiration

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24
Q

Mc injection used as scolicidal agent in the Hyatid cyst tx !?

A

20 % hypertonic saline

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25
Q

Mc benign tumor of liver

A

Hemiangioma

26
Q

Most common malignant tumor of liver ?,

A

Metastase

27
Q

Mc primary malignant tumor of the liver ??

A

Hepatocellular carcinoma

28
Q

Mc primary malignant tumor of the liver in children !?

A

Hepatoblastoma

29
Q

BIOPSY is C/I in ………….. tumor of the liver !?

A

Liver hemangioma

30
Q

Large hemangiomas can develop……

A

Kasabach- merritt syndrome - consumption of all platelets

31
Q

Giant liver hemangioma ……….. and sign ……… on MRI !?

A

> 5 cm & Light bulb sign

32
Q

Central stellated scar present in !?

A

Focal nodular hyperplasia

33
Q

Which structure found on HPE of FNH ??

A

Hepatocytes, bile duct structure, kuffer cells & uencapsulated

34
Q

Strongest association with ocps !?

A

Hepatic adenoma

35
Q

HPE finding on hepatic adenoma !?

A

Sheet of hepatocytes
No bile duct structure
No kupffer cells
No vascular invasion

36
Q

Most common cause of hemoperitoneum !?

A

Ecotopic pregancy

37
Q

……… can show malignant conversion ??

A

Hepatic adenoma

38
Q

Bordeaux classification used for !?

A

Hepatic adenoma

Inflammatory- max risk pf bleeding
HNF -1 alpha - max risk of multiple

Beta cantenin- max risk of malignant conversion

39
Q

Von meyenburg disease!?

A

Aka multiple liver hamartoma syndrome

Multiple cystic liver hamartomas

D/t to failure of regression of embryonic biliary duct

40
Q

Multiple liver hamartoma is a/ w ……

A

Increase risk of cholangiocarcinoma

41
Q

Multiple cavernous hemangiomas of liver + immunocompromised + anabolic steroids

A

Peliosis hepatis

42
Q

Most common risk factor for the HCC !?

A

Hepatitis B

43
Q

Thoratrast exposure increases the risk…..

A

RCC , HCC , cholangiocarcinoma

44
Q

Mc earliest sign and symptom of HCC !?

A

Hepatomeagly & abdominal pain

45
Q

Most common paraneoplastic syndrome of HCC !?

A

Hypoglycemia

46
Q

Most common biochemical paraneoplastic marker in HCC!?

A

Hypercholestrolemia

47
Q

IOC For HCC !?

A

Triple phase CT

48
Q

Mc common tumor marker for the HCC!?

A

AFP

49
Q

MOST sensitive & specific TUmor marker for HCC!?

A

Heppar-1

50
Q

HPE finding for HCC

A

Mallory hyaline bodies in HCC

51
Q

Components of the MELD ??

A

Serum creatinine

Serum bilirubin

INR

52
Q

Components of CHILD pugh A score !?

A

Prothrombin time /INR

Bilirubin
Serum albumin

Ascites

Encephalopathy

53
Q

Most important prognostic factor of HCC !?

A

Stage of diseases

54
Q

MC site of distant metastasis!?

A

Lungs

55
Q

Tumor marker in the fibrolamellar variant of HCC !?

A

Neurotensis-B

56
Q

< 3 year child with mass in right upper quadrant + Anemia + thrombocytes

A

Hepatoblastoma

57
Q

Angiosarcoma risk factor !?

A

A - arsenic
T-thorotst
P- poly vinyl chloride

58
Q

Prognostic indicator for the HCC

Okuda content !?

A

B- bilirubin
A- ascites
T - tumor size
A- albumin

59
Q

CLIP

A

C - child pugh Score
Portal veinThrombosis
Tumor size
AFP

60
Q

Barcelona clinic score

A

Tumor size
Child pugh score
Performance status

Surgery (8 decks)

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