ARDMS- Abdomen Boards > Liver > Flashcards

Liver Flashcards

(65 cards)

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1
Q

What is the live response fo

A

Hemopoiesis

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2
Q

Location of the left lobe

A

Epigastrium

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3
Q

Bare area

A

Small uncovered part of the liver - area of the falicform ligament

Left liver is uncovered

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4
Q

Liver capsule

A

Glisson capsule

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5
Q

Caudate bloody supple

A

Has different blood supply and drainage

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6
Q

Lobules contain

A

Hepatocyte
Kuppffer cells
Biliary cells

Sorrounded by portal triad

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7
Q

Anatomic lobe is

A

Quadrants lobe also know as the medical lobe
Between GB fossa and round ligament also know a the the ligamentum teres

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8
Q

What are intersegmental

A

Hepatic veins

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9
Q

What are intrasegmental

A

Portal vein
HA
CBD

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10
Q

Coronary ligament

A

It seen on IS but it splits the liver into anterior and posterior

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11
Q

MPv created by

A

SMV AND SV - portal confluence

-anterior to IVC
Posterior to Panc Neck

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12
Q

Increase in PV

A

Is portal hypertension
Caused by cirrhosis
Increase in Blood pressure

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13
Q

MPv blood supply to to liver

A

75%

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14
Q

HA blood supply to the liver

A

25%

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15
Q

MPV diameter

A

13mm

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16
Q

Hepatic Vien drains into

A

IVC

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17
Q

How does the PV and HV change at the Diaphragm

A

PV decrease in size
HV increase in size

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18
Q

Hepatic Vien flow

A

Triphasic flow - associated with rt atrium sand atrial contraction

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19
Q

Increase in HV size is associate with

A

Right heart failure

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20
Q

Narrowing or occlusion on HV is

A

Buddi cahiari syndrome

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21
Q

Micky mouse sign

A

Portal triad

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22
Q

After birth the ductus venous becomes

A

Ligamentum venosum

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23
Q

Left umbilical Vien connect to the PV and become

A

Ligamentum teres or round ligament or falicform ligaments

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24
Q

Recanaliztion of para umbilical Vien in ligament teres occurred with

A

Portal hypertension

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25
Where is the ligamentum venosum located
Ant to th caudate lobe
26
Diaphragmatic slip caused by
Hypertrophied diaphragmatic muscle bundle
27
Liver size
13-15cm
28
Types of fatty liver Diease
Non alcoholic and alcohol
29
What the most common type of fatty liver disease in western world
Non alcoholic fatty liver
30
What is the most common cause of chronic liver Diease
Non alcholic fatty liver Diease
31
Cause of non alcoholic fatty liver Diease
Starvation Obesity Pregnancy
32
Where does focal fatty infilation and focal fatty sparing occur
Both near the GB Infilation - echogenic Sparing - hypoechoic
33
Inflammation of the liver is
Hepatitis
34
What are the most common type of Hepatitis
A&B
35
HEP A
Fecal-oral route in contaminated water and food
36
Hep B
Spread with contact with containamted body fluids, mom to body, or blood contact, drug abuse
37
Hep C
Healthcare workers, body and blood fluid lead to infection #1 cause of of Liver Transplant in US
38
Chronic hep cause
Wilson Diease which is cause by copper
39
Death of liver cell
Cirrhosis
40
Cirrhosis is caused by
Alcoholism <1cm micronodule
41
1-5 cm nodule seen with cirrhosis is cause by
Hepatitis
42
What the PV and HV with cirrhosis
Reversal flow - monophasic, hepatofugal flow
43
Portal Hypertension
Increase in BP with in PV Cause by cirrhosis Reversal flow seen Abdominal varicosites
44
Treatment for PV
TIPS TRANSJUGULAR INTRAHEPATIC PORTOSYSTEMIC SHUNT
45
Portal venous Gas
Gas within PV or mesentric Vien Result from ischemic bowel Associated with diverticulitis, appendicitis and inflammatory bowel
46
Budd Chairi syndrome
Narrowing or occlusion of the hepatic veins or IVC Decreasing hepatic vein and increase inc caudate lobe
47
What is Buddi chiari syndrome found in
Femal with oral contraceptives Ascites RUQ pain
48
Hepatic Cyst
Associated with ADPKD No change in liver value
49
Hydiad liver cyst “echinococcal cyst”
Tapeworm that live in dog fece, food such as veg Move from bowel to PV to enter liver
50
Water lily sign
Seen with hydatid liver cyst Mother Cyst is larger and daughter cyst is a smaller Cyst inside of a cyst
51
Amebic Hepatic Abscess
Come from parasite entamoeba hidtolytica Colon and invade liver via PV Transmitted through water
52
Pyogenic Hepatic Abscess
Bacteria enters the liver through PV,HA, and biliary tree Spread of infection from inflammatory Condition such as appendicitis
53
Hepatic Condidasis
Immunocompromised pt ( pt with cancer) Spread of fungus in the blood to the lobe Weak immune system “Target” “Halo” or “Bull’s- eye” lesion
54
Cancerous Hemangioma
Most come benign liver tumor MC in woman Hyperechoic
55
Focal Nodular Hyperplasica (FNH)
Second Most Common benign liver tumor Estrogen depended Not caused by oral contraceptive but can grow by the use of oral contraceptive
56
What is Focal Nodular Hyperplasica (FNH) referred to as ?
Stealth lesion
57
Hepatocelluar adenoma
Liver adenoma - rare Associated with oral contraceptive Can be malignant
58
Hepatic hematoma
Trauma or surgical Decrease in hematocrit Liver pacenhyma
59
Focal Hematoma
Has a calcified wall
60
Hepatocelluar carcinoma
Most common PRIMARY form of liver cancer Accompanied by cirrhosis or chronic hepatitis Elevated AFP Mass associated is Hepatoma
61
Hepatic METS
Liver is number one location for Mets Mets is the number one liver cancer Malignant cells enter through the liver via portal vein or lymphatic
62
Infantile Hemangioendothrliama
MC benign liver tumor Increase in liver size
63
Hepatoblastoma
Malignant liver tumor Associated with beckwith wiedemann syndrome Increase AFP
64
RI for HA
Low RI 0.5-0.8
65
INTRAPERITONEAL ORGAN
GLOSS gallbladder Liver(except bare area) Ovaries Spleen (expect hiking) Stomach
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