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Evaluation of the liver parenchyma includes the...?
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Assessment of its SizeConfigurationHomogeneityContour
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Pathology of liver disease categories...? (9 categories)
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Diffuse Disease, Focal Disease, Functional Disease,Abscess Formation, Vascular Problems,Benign Disease, Malignant Disease,Hepatic Trauma, Hepatic Transplantation
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Diffuse hepatocellular disease subcategories...?(4 categories)
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Fatty InfiltrationAcute/Chronic HepatitisEarly Alcoholic Liver DiseaseAcute/Chronic Cirrhosis
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Diffuse Hepatocellular Disease
Fatty Infiltration: Fatty infiltration implies increase ______ accumulation in the hepatocytes and could result from ____________ to the liver or a __________ leading to impaired or excessive metabolism of fat. |
![]() Lipidsignificant injurysystemic disorder |
Diffuse Hepatocellular Disease
Fatty Infiltration: Common Causes(6 causes) |
*Alcoholic Liver Disease*ObesityDiabetes MellitusSevere HepatitisChronic IllnessSteroids
*most common |
Diffuse Hepatocellular Disease
Fatty Infiltration: Sonographic Features Dependent on the severity of the _______ (slight-severe). Some text classifies by ________. There are ___ grades. |
![]() Fatty changesgrade3 |
Diffuse Hepatocellular Disease
Fatty Infiltration: Sonographic Features Grade 1: ______ diffuse increase in fine echoes in the _______ with normal visualization of the ________ and ____________. |
Slighthepatic parenchymadiaphragmintrahepatic vessel borders
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Diffuse Hepatocellular Disease
Fatty Infiltration: Sonographic Features Grade 2: _______ diffuse increase in the fine echoes with slightly impaired visualization of the ________ and _________. |
Moderateintrahepatic vesselsdiaphragm
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Diffuse Hepatocellular Disease
Fatty Infiltration: Sonographic Features Grade 3: _______ increase in the line echoes with poor or no visualization of the _______, _______, and the posterior portion of the ____________. |
Markedintrahepatic vessel bordersdiaphragmright lobe of the liver
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Diffuse Hepatocellular Disease
Fatty Infiltration: Sonographic Features Liver _______ (hepatomegaly) especially in the lobe affected. Liver is ________ and _________. As the disease progresses, there is a decrease in the "_________"; decrease in the _______ of vessels. Increase in ___________ (is the gradual loss in intensity of any kind of ____ through a medium). Difficulty in visualizing the ______ veins. |
![]() Enlarges unduly bright, echogenic thru transmission, visibility attenuation, flux portal |
Diffuse Hepatocellular Disease
Fatty Infiltration: Sonographic Features Other characteristics of fatty infiltration:Focal Sparing The most common areas are anterior to the _______ or the ________ and the posterior portion of the ____ lobe near the _______. |
Gallbladderportal veinleft caudate
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Diffuse Hepatocellular Disease
Fatty Infiltration/Lab/Symptoms Increased _______ & _______May have ____-like symptomsLoss of ________FatigueNauseaVomiting |
Alk phos, direct bilirubininfluenzaappetite
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Glycogen Storage Disease
An __________ disorder that may be detected by ultrasound. There are ___ categories of glycogen storage disease that are divided by the ________ and the _____ in the enzyme. |
Autosomal recessive6clinical symptomsdefect
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Glycogen Storage Disease
Most Common: Type ___ : _____ Disease Abnormally large amount of ______ are deposited in the _____ and _______. Activity of the enzyme glucose-6-phosphate is _____, preventing glycogenolysis. Glycogen is stores in the ____, but the body is __________. This begins in _____, with _______, a good survival prognosis through adulthood is predicted. |
1, VonGierke'sglycogen, liver, kidneys, impaired, tissues, unable to use itinfancy, therapy
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Glycogen Storage Disease
Patients present with ________, _________ echogenicity, and a decrease in ______ due to the increase fat stores in the liver. The disease is associated with ________, _________, and _________. |
Hepatomegaly, increased, penetrabilityhepatic adenomas, focal nodular hyperplasia, hepatomegaly
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