Surgery 1. Liver Flashcards
Cantlies line :-
IVC groove :-
In image MHV RHV LHV LPV RPV
Cauinaud division is based on :-,,,,,,,,,,,,,,& ,,,,,,,,,,,,
Major fissure :- ………………….
Minor fissure :- ,,,,,,,,,,,,,,,,,,,
Sectors in liver 1. 2. 3. 4.
GB fossa segment ,,,,,,&,,,,,are removed in ,,,,,,,,,,,,,,,,,for GB cancer
MC site for amoebic liver abscess:- ,,,,,,,,,,,,segment ( ,,,,,,,)
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Liver resection is based on ,,,,,,,,,,,,c
Classification
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Left hepatectomy :- ,,,,,,,,,,,
Right hepatectomy :- ,,,,,,,,,,,,,,,,
Left trisectrorectomy
Left trisectionectomy
Extended left hepatectomy :-
Right ——#———-:-
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Quadrate lobe is segment :-
Caudate lobe is segment :-
Unique feature of caudate lobe 1. 2. 3. Undergoes :-
Segment 1 is divided into
Segment 1 early involvement in :-
Liver pedicel At hilarious of liver , 3 structures Anteriorly :- Posterior:- On imaging :-
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Liver abscess A. Pyogenic liver abscess Inf by :- MC organism :- MC organism in Asia :- MC organism in children with granulomatous disease :-
Spread mainly via :- i.e :- - - Number :- Clinical features:- MC enzyme to increase:- Other :- Sex :- IOC :- Management 1. 2. 3.
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B) Entamoeba histolytica In bowel ulcer shape :- Reaches liver via :- MC lobe affected in entamoeba histolytica:- Number :- CF :- Enzyme MC to increase :- Sex :- IOC :- Characteristics:- Management:-
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Management of amoebiasis
Drug given :- ,,,,,,,,,,
1. Of responds :-
2. Does not responds :-
- If responds
Continue for :-
After 10 days give :-
2 if doesnot respond
Do :-
Other indications of aspiration and drainage
Other drug :-
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Complication
MC site of rupture of amoebic abscess:- ,,,,,,,,,,>,,,,,,,,,,,> ,,,,,,,,,
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Hydatid disease Organism :- Definitive host :- Intermediate host :- Accidental host :-
MC organ affected :- ,,,,,,,,>,,,,,,,, CF :- IOC :- Sign seen in hydatid cyst :- To confirm diagnosis :-
Management:- Drug given :- 1st line management of hydatid cyst :- Mnemonic:- P A I R
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Scolicidal agent
MC :-
Other are :-
Contraindication of PAIR 1. 2. 3. 4. 5. 6.
If scolicidal enters gallbladder causes :-
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Surgery for hydatid cyst
1.
2.
3.
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