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19 Cards in this Set
- Front
- Back
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What percent of pt with ADPCKD have liver cyst
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50-75%
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What should always be checked before diagnosing a pt with polycystic liver from polycystic kidney disease
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LFT (will be normal)
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If a pt has multible liver cyst and elevated LFTs what should be considered
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infection, biliary obstruction, tumor
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What are the 3 types of liver absces
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pyogenic, amebic, fungal
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What are the cause of pyogenic liver abscess
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GI infection
trauma biliary obstruction Osteomyelitis no cause in 50% of the time |
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What does an amebic abscess look like on US
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round lesion with low level echoes
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What pts typically get fungal abscess of the liver
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immunocompromised
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What are the US characteristics of fungal abscess
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target, multiple
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What does an abscess look like on US
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hypoechoic
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What is the ddx for a cyst with internal echoes
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abscess (pyogenic, amebic, echinococcal aka hydatid)
simple cyst with hemorrhage hematoma cystic neoplasm |
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What is the management of a cyst with echogenic content
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US guided aspiration and culture
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What does an early abscess look like on US
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ill defined, heterogeneous echogenicity with hypoechoic component
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What does a late abscess look like on US
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better defined, hypoechoic with internal echoes
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Does an amebic abscess cause pain
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yes, in 99% of pts
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Is lymphoma usually infiltrative in the liver
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yes
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What are some instances where lymphoma may not be infiltrative
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AIDS and NHL
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DDX of hypoechoic lesion
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cyst, abscess, hematoma, hemangioma, HCC, METS
Lymphoma, fatty sparring |
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Can Lymphoma have a cystic appearance in the liver on US
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yes
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If a pt has a transplant and a mass in any part of the body what should always be in the ddx
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PTLD
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