Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
14 Cards in this Set
- Front
- Back
|
cause of hydatid cyst?
|
echinococcal tapeworm form contact with dogs
|
|
|
how does hydatid cyst appear on US
|
fluid-filled cyst ass. w/ daughter cysts, calcification
|
|
|
presentation of Hydatid cyst?
|
asymptomatic mostly
RUQ pain and hepatomegaly |
|
|
Investigation for Hydatid Cyst?
|
-CBC (esinophilia)
-serology assay ( indirect hemagglutination or enzyme-linked immunosorbent essay +ve in 90%) -Casoni skin test |
|
|
Mx of Hydatid Cyst?
|
-aspiuration is avoided (spillage of organisms)
-antihelminthic therapy for 16 days with (mebendazole,praziquantel,albendazol) -surgical removal: isolation of cyst w/packs, aspiration, insulation of hypertonic saline |
|
|
most common cause for HCC?
|
chronic HBV infection
|
|
|
causes of HCC?
|
any cause of chronic liver disease:
-chronic viral hepatitis -alcoholic hep -NAFLD -hemochromatosis -parasitic infx |
|
|
Sx of HCC?
|
-wt loss
-abdominal swelling -RUQ pain -decompensating cirrhosis -paraneoplastic syndrome -fever,leukocytosis, -cachexia |
|
|
diagnosis of HCC?
|
US
triple-phase CT MRI tissue biopsy if cirrhosis AFP level (> 400 diagnostic) |
|
|
tumor marker for HCC?
|
AFP
|
|
|
causes for high AFP?
|
-HCC
-pregnancy -cirrhosis -chr active hepatitis |
|
|
Mx of HCC
|
-LT ( Milan criteria)
-surgical resection -if unresectable -> sys Mx by sorafenib- anti VEGF |
|
|
what is sorafenib and where it is used?
|
anti-VEGF antibody
used in unresectable HCC |
|
|
most common tumor to cause liver mets?
|
colorectal CA 60%
|
