ABSITE ch 31 Liver.txt

Most common hepatic artery variant

Second most common hepatic artery variant

Structure separating the medial and lateral segments of the left lobe of liver

Structure that carries the remnant of the umbilical vein

Structure that carries the obliterated umbilical vein to undersurface of liver; extending from falciform

Line drawn from middle of GB fossa to IVC

Segment I of liver

Segments II-IV of liver

Segments V-Viii of liver

Peritoneum that covers the liver

Area on posterior-superior surface of liver not covered by Glisson's capsule

Structures near segments IV and V

Liver macrophages

Structure containing the bile duct, portal vein, and hepatic artery

Portal triad (structure + location)

SMV + splenic vein

Segments of liver drained by left portal vein

Segments of liver drained by right portal vein

Number of hepatic veins

structure draining phrenic veins

Enzyme located in canalicular membrane

Usual energy source of liver

Only water-soluble vitamin stored in liver

Hepatocytes most sensitive to ischemia

Breakdown product of hemoglobin

Enzyme causing breakdown of bilirubin by bacteria in terminal ileum

Enzyme causing dark urine

Amino acids conjugated to bile acids to increase water solubility (2)

Main biliary phospholipid; solubilizes cholesterol

First location where jaundice is evident

Causes of unconjugated bilirubinemia

Causes of conjugated bilirubinemia

Abnormal bilirubin uptake with mildly high unconjugated bili

Inability to conjugate bilirubin, causing unconjugated bilirubinemia

Immature glucoronyl transferase causing high unconjugated bilirubinemia

Deficiency in storage of bilirubin; causes elevated conjugated bilirubin

Deficiency of bilirubin secretion; causes high conjugated bilirubin

RNA hepatitis with few serious long-term consequences

DNA hepatitis capable of causing long-term infection; vaccination available

RNA hepatitis with a long incubation period and capability of causing long-term infection; most common hepatitis leading to transplant

RNA hepatitis cofactor for Hep B

RNA hepatitis that can cause fulminant hepatic failure in pregnancy

Anti-HBs antibodies only in:

Anti-HBs and anti-HBc with NO HBs antigens in:

Most common cause of liver failure

Best indicator of synthetic function of liver

Cause of hepatic encephalopathy

Causes other than liver failure encephalopathy (4)

Cathartic that gets rid of bacteria in gut and acidifies colon

Source of ascites

Method of shunting ascites into venous system (2)

Cause of postpartum liver failure with ascites

Most common organism causing spontaneous bacterial peritonitis

Risk factors for SBP (5)

Treatment of SBP

drugs to treat bleeding esophageal varices (2)

tube used to control esophageal and/or gastric varices

Initial therapy for bleeding esophageal varices

Backup therapy for bleeding esophageal varices (after failed endoscopy)

Venous collaterals that develop with portal hypertension (5)

Presinusoidal causes of portal hypertension (3)

Sinusoidal causes of portal hypertension (1)

Postsinusoidal causes of portal hypertension (3)

Normal portal vein pressure

collaterals between portal vein and systemic venous system of lower esophagus

risk of TIPS

shunt with lowest risk of encephalopathy

shunt that can worsen ascites

shunt used in Child's B and C

Shunt used in Child's A with just bleeding

Categories to determine Child's class (5)

Most common cause of portal HTN in children

Occlusion of hepatic veins and IVC

Treatment of Budd Chiari

Cause of isolated gastric varices without elevation of pressure in rest of portal system

Most common cause of splenic vein thrombosis

Treatment of splenic vein thrombosis

Common lobe of liver for amebic abscess

Anchovy paste

Treatment of amebic abscess

Most common cause of amebic abscess

Hydatid cyst organism

Most common lobe for echinococcal cyst

Treatment of echinococcal cyst

Complications of echinococcal cyst aspiration

Liver abscess that can also cause a maculopapular rash and eosinophilia

Organism causing liver abscess and variceal bleeding

Treatment of schistosomiasis

Most common organism in pyogenic liver abscess

Infections that can cause liver abscess as a secondary infection

Benign liver tumors occurring commonly in women, steroid users, OCP users

Benign hepatic tumor with no uptake on sulfur colloid scan (because no Kupffer cells present)

Treatment of hepatic adenoma

Benign liver condition with central stellate scar

Most common benign hepatic tumor

Lesion appearing as hypervascular lesion on CT/MRI

Rare complication of hemangioma

Most common malignant liver tumor

Most common liver cancer worldwide

Risk factors for HCC (9)

Liver conditions that do not increase risk for HCC

Serum marker for hepatocellular carcinoma

5-year survival of HCC after resection

margin required for HCC

risk factor for hepatic sarcoma (3)

Risk factors for cholangiosarcoma (5)

5-year survival of resected colon ca mets

primary blood supply of liver tumors

primary liver tumors: hypovascular or hypervascular?

Metastatic liver tumors: hypovascular or hypervascular?