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34 Cards in this Set
- Front
- Back
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What are the benign liver tumors?
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Hemangioma
Hepatic Adenoma |
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Whats the most common primary tumor of the liver?
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Hemangioma
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Most common benign tumor of the liver is made up of what?
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Hemangioma = vascular
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Pt is on oral contraceptives. what liver tumor does she have?
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Hepatic Adenoma
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Whats the risk with hepatic andenoma?
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They can rupture, leading to intraperitoneal hemmorrhage
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Most common primary malignant tumor of liver?
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Hepatocellular carcinoma
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What are the causes of Hepatocellular carcinoma?
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Cirrhosis
Hep B, C Alc Aflatoxin B1 |
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How do Hepatocellular carcinoma's spread?
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Hematogenous ie blood vessels
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Alpha-fetoprotein positive is what kind of liver tumor?
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Hepatocellular carcinoma
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Risk factors for Cholangiocarcinoma?
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Thorotrast
Clonorchis sinensis |
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Tumor arising from bile duct epi. What is it?
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Cholangiocarcinoma
Poor prognosis |
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Pt works in a factory where carcinogenic chemicals are used suck as vinyl chloride, Thorotrast, and Arsenic. What kind of tumor does he have?
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Angiosarcoma
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Farmer works with Arsenic. What kind of tumor does he have?
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Angiosarcoma
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Where are most metastatic liver tumors from?
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breast, lung, colon
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Pt is a Preggo female who is Older, Obese, on OCs, and has bad genetics. What is her gall stone made of?
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Cholesterol monohydrate
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Pt has chronic hemolytic anemia, cirrhosis, Bact. and parasites b/c they are dirty. What is their gall stone made of?
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Pigmented Bilirubinate stones
Calcium salts and uncong. bili |
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Define Cholecystitis
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Gallstones in liver
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Define Choledocholithiasis
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Calculi in biliary tract
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Define Cholangitis
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Infection of common bile duct
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How is acute cholecystitis different than chronic cholecystitis?
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Acute = gallstones, RUQ pain on palpation, N, V, Fever, Leukocytosis
Chronic = gallstones, Calcification of gallbladder = porcelain gallbladder. Chronic gallbladder inflamm. Rokitansky-Aschoff sinuses, "porcelain gallbladder" |
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Rokitanky-Aschoff sinuses = what?
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Chronic Cholecystitis
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Define Ascending Cholangitis
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Bact. Ascend up bile ducts to liver, usually obstruct bile flow
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Red-yellow speckling of mucosa = strawberry gallbladder. What is it?
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Cholesterolosis
= collection of lipid-laden macrophages w/in lamina propria |
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Hydrops vs mucocele gallbladder hydrops?
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Gallbladder Hydrops = Cystic duct obstruction --> resorption of normal gallbladder contents --> enlargement of gallbladder --> clear OR mucus secretion...
Hydrops = clear fluid secretion Mucocele = mucus secretion |
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3 types of biliary tract cancer?
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Bile Duct Carcinoma = carcinoma of extrahepatic bile ducts
Cholangiocarcinoma = carcinoma of intrahepatic bile ducts Klatskin's Tumor = tumor at bifurcation of R + L hepatic bole ducts |
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Whats the progression of liver cancer in an alcoholic?
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Fatty Change --> Alcoholic Hepatitis --> Alcoholic Cirrhosis
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Whats the pathogenesis of fatty liver? Which is reversible?
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Centrolobar macrovesicular steatosis --> Fibrosis around central vein
Only the FIRST PART is reversible ie the centrolobar macrovesicular steatosis |
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Hepatocyte swelling, necrosis --> can lead to neutrophils, fatty change, and fobrosis around central vein....describes what?
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Alcoholic Hepatitis
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Mallory Bodies denote what?
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Alcoholic Hepatitis
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Does Alcoholic Cirrhosis occur in all alcoholics?
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no, just 15%
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Most common disease requiring liver transplant?
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Alcoholic Cirrhosis
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Pathologist notes micronodular cirrhosis. What was the cause of death? (=nodules less than 3mm)
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Alcoholic
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Pathologist notes macronodular cirrhosis. What assoc. conditions could the pt have had?
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Wilson's disease, Hepatitis, alpha-1-antitrypsin deficiency
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T/F: Autoimmune Hepatitis often occurs with what?
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Other Autoimmune disorders
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