Liver Pathology

Notecards for our exam on Liver Pathology (Liver Part 2 PP).

107 cards   |   Total Attempts: 188
  

Cards In This Set

Front Back
Evaluation of the liver parenchyma includes the...?
Assessment of its SizeConfigurationHomogeneityContour
Pathology of liver disease categories...? (9 categories)
Diffuse Disease, Focal Disease, Functional Disease,Abscess Formation, Vascular Problems,Benign Disease, Malignant Disease,Hepatic Trauma, Hepatic Transplantation
Diffuse hepatocellular disease subcategories...?(4 categories)
Fatty InfiltrationAcute/Chronic HepatitisEarly Alcoholic Liver DiseaseAcute/Chronic Cirrhosis
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.
Answer 4
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.
Answer 6
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
Diffuse Hepatocellular Disease
Fatty Infiltration: Sonographic Features
Grade 2: _______ diffuse increase in the fine echoes with slightly impaired visualization of the ________ and _________.
Moderateintrahepatic vesselsdiaphragm
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
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.
Answer 10
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
Diffuse Hepatocellular Disease
Fatty Infiltration/Lab/Symptoms
Increased _______ & _______May have ____-like symptomsLoss of ________FatigueNauseaVomiting
Alk phos, direct bilirubininfluenzaappetite
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
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
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