Study Guide 10, 12, 14 Flashcards
- Fatty infiltration what type of disease process and when will we observe this?
Obesity, alcoholism, hyperlipidimia, diabetes, poor nutrition, severe hepatitis, cystic fibrosis, cirrhosis
- What is the sonographic findings of acute hepatitis
Liver texture may appear normal, but the portal vein borders are more prominent than usual and the liver parenchyma is slightly more echogenic than normal; attenuation may be preset Hepatosplenomaglay is present and the gallbladder wall is thickened
- Budd Chiara what is it?
uncommon, often dramatic illness caused by thrombosis of the hepatic veins or inferior vena cave. Presents with abdomen pain, hepatomegaly and massive ascites.
- Enchonical cysts where are they most common
Sheep-herding areas of the world, but seldom in the United States
- Most common benign tumor of the liver
Cavernous Hemangioma
- What benign liver tumor is found in patients with type one glycogen storage disease
Liver cell adenoma
- Patients who have hepatocellular carcinoma likely have had what?
Cirrhosis, Hepatitis B and C
- The most common form neoplastic plasma involvement of the liver
Metastatic Disease
- In severe hepatocellular destruction the AST and the ALT levels will be what
Elevated ?
- Elevation of the ALK PHOS is associated with what
Diffuse disease/ Fatty Infiltration and Cirrhosis Obstruction biliary obstruction o
- Elevation of the serum bilirubin results in what?
Diffuse disease/acute and chronic hepatitis Jaundice
- Typical symptoms patient may have with an abscess formation
Fever, pain, pleuritis, nausea vomiting, and diarrhea. Elevated white cell count, abnormal LFT, Anemia
- What tumor consists of large blood filled spaces
Cavernous Hemangioma
- Dilated intrahepatic ducts may be seen in all of the following except
Biliary obstruction (GB or duct stones), extrahepatic mass, common duct stricture and occlusion in the head of the pancreas will cause dilated intrahepatic ducts.
- What benign liver tumor is located at the free edge of the liver and it is well described and solitary
Liver cell adenoma
- Common malignancy that includes the pediatric population
Neuroblastomas, Wilm’s Tumor
- Older man alcoholism diagnosed acute pancreatitis hepatic and hypotensive level decreases what’s happening
Hemorraghic Pancreantitis
- A patient with painless jaundice and weight loss and a decrease appetite what are we looking at?
Adenocarcinoma
- Serum blank level is twice the level usually indicated acute pancreatitis
amalayse
- What are the clinical signs and symptoms (acute pancreatitis)
Clinical signs: Sudden onset of meoderate to severe abdominal pain with radiation to back
Nausea, vomiting
History of gallstones
Mild fever
- What is the most common cause for pancreatitis in the United States
Biliary tract disease
- A condition that causes increase secretion of abnormal mucus by the exocrine glands
Fibrocystic disease of the pancreas
23. Borders distinct irregular Hypoechoic texture (edema)
Acute Pancreaitis appearance
- Irregular borders
Mixed echogenicity
Look for calculi within duct
Chronic pancreaitits appearance
- Ortho topic what does it mean?
Placing the new organ in the same exact spot as the old organ
- How many liver transplants are performed each year?
5,000
- Know the complications from a liver transplant
- hepatic artery thrombosis/most common
- thrombus in portal vein or IVCinfectionfluid collections- hematomas, ascesses, bilimas, ascitites and seromasbiliary leaks
- Know the complications of renal transplants
Rejection, ATN, malignancy, extra peritoneal fluid collections (HUAL), obstructive nephropathy, graft rupture and renal thrombosis.
- What is ESRD stand for?
End Stage Renal Disease
- Which kidney is more likely to be used from the donor?
The left kidney because the left renal vein is longer than the right
- Sonographic appearance of a kidney that is failing
At first, the kidneymay be swollen with fluid collections indicating infection. Then the cortex will shrink and the whole kidney will atrophy and become more echogenic when chronic.
- Know what ATN is?
Acute Tubular Necrosis/ is a common cause of acute posttransplant failure.
