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Liver Pathalogy
Chapter 6
31
Anatomy
Professional
08/29/2011

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Term
Fatty Infiltration
clinical findings
Definition
Norm to increased hepatic enzymes
increase alk phos
increase direct bilirubin
Term
What is choleostasis?
Definition
Interruption in the flow of bile through any part of the biliary system
Term
What are common causes of a fatty liver?
Definition
alcohol
diabetes mellitis
obesity
pregnancy
Term
What type of sonographic finding will a fatty liver have?
Definition
increased echogenicity
Term
____________is a benign process and may be reversible. The patient is usually asymptomatic; however, some patients may present with jaundice, nausea and vomiting
Definition
Fatty Infiltration
Term
What happens to attenuation of ultrasound with a fatty liver?
Definition
increased attenuation which means decreased in penetration of the sound beam
Term
What is another characteristic of fatty infiltration?
Definition
focal sparing
Term
The most common area's for fatty infiltration would be?
Definition
anterior to gallbladder
the portal vein
posterior of the left lobe of the liver
Term
What type of hepatitis is spread by fecal contamination?
Definition
Type A
Term
What hepatitis is most common?
Definition
Type B
Term
Patients with __________have flulike and gastroinstestinal syptoms, including loss of appetite, nausea, vomiting and fatigue
Definition
Acute & chronic Hepatitis
Term
What condition has hepatosplenomegaly present and the gallbladder wall is thickened?
Definition
Acute hepatitis
Term
What condition has liver paranchyma that is coarse with decreased brightness of the portal triads?
Definition
Chronic hepatitis
Term
Patient came in with nausea, anorexia, weight loss, tremors, jaundice, dark urine, fatigue and varicosities. What would be the diagnose?
Definition
Chronic Hepatitis
Term
What is cirrhosis?
Definition
a chronic degenerative disease of the liver in which the lobes are covered with fibrous tissue
degenerative parenchyma
lobules are infiltrated with fat
Term
What are the different types of cirrhosis?
Definition
biliary
fatty
posthepatic
Term
Patient comes in with nausea, flatulence, ascites, light-colored stools, weakness, abdominal pain, varicosities and spider angiomas. What's the diagnosis?
Definition
Cirrhosis
Term
What's the most common type of glycogen storage disease?
Definition
Gierke's disease (type 1)
Term
Pyogenic abscess
Definition
pus-forming
from bacteria
Term
Hepatic candidiasis
Definition
"Bulls eye" or target lesion
Fungus
invades bloodstream
Term
Chronic granulomatous disease
Definition
Children -girls
respiratory
leukocytes
Term
Amebic abscess
Definition
parasite
pus
contaminated water, food
Term
Echinococcal cyst
Definition
sheep herder
inner/ outer layer
daughter cysts- honeycomb
Term
Neoplasm
Definition
new growth of tissue
benign or malignant
Term
Cavernous hemangioma
Definition
women
round well defined
hyperechoic
Term
Hepatocellular carcinoma
Definition
pregnancy hormone
Term
Focal Nodular Hyperplasia
Definition
women under 40
2nd most common benign mass
Term
Hepatocellular carcinoma
Definition
most common tumor
cirrhotic liver
Budd-chiari syndrome
Term
Most common sites for metastatic disease?
Definition
colon
breast
lung
Term
Indications for portal hypertension?
Definition
thrombosis
portal vein compress
budd-chiari syndrome
fistula
Term
Budd-chiari syndrome?
Definition
Ascites
hepatomegaly
increase caudate lobe
portal hypertension
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