Ettingers Liver Biopsy Technique Etc

Front 1

What clotting facotrs are more sensitive in detecting coagulation problems in patients with hepatic disease?

Back 1

Clotting factors induced by VIt K are 3X more sensitive than PT/PTT

Front 2

What samples should be submitted with liver tissue from a biopsy?

Back 2

aerobic/anerobic culture
histology
metal quantification (Cu, Zn, Fe)

Front 3

What metals should the liver be tested for?

Back 3

Copper
Zinc
Iron

Front 4

List the 3 types of Liver Biopsy:

Back 4

Guillotine
Transfixion
Punch Biopsy

Front 5

How is a guillotine biopsy performed?

Back 5

4-0 Monofiliment tightened around a protroduing liver lobe margin. Sample is excised 1-2 mm caudal

Front 6

How is a transfixion liver biopsy performed?

Back 6

Placing ligautre through liver lobe 8-10 mm from edge and ligatures are tightened and a second throw is made perpidencular.

Front 7

How is a punch biopsy of the liver performed?

Back 7

6 mm punch
Do not penetrate the opposite surface.

Front 8

List the lobes of the liver

Back 8

-L lateral
-papillary process of the caudate lobe
- quadrate lobe
-R medial
-R later caudate process of the caudate lobe
- R lateral lobe

Front 9

Picture of the liver

Back 9