Ch 5 review questions
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15 terms
Terms | Definitions |
|---|---|
 bile drains from the liver's right and left hepatic ducts directly into the: | common hepatic duct |
| the noninvasive modality of choice that doesn't employ ionizing radiation for visualization of the gallbladder disease is: | Diagnostic medical sonography |
| Impairment of normal liver function might result in | jaundice |
| patients with liver cirrhosis have a tendency to develop: | ascites, esophageal varices and jaundice |
| Which types of viral hepatitis may be transmitted via blood or blood products? | Hep B & Hep C |
| A liver condition commonly associated with alcohol abuse include: | Cirrhosis |
| The yellowish discoloration of the skin associated w/ jaundice is caused by: | The presence of bilirubin in the tissues |
| Gallstone ileus refers to impaction of a gallstone in the: | small bowel |
| which diagnostic imaging modalities are of choice in following the progress of a liver malignancy? | CT & Ultrasound |
| A malignant liver tumor is a _______. | hepatocellular carcinoma |
| Compare & contrast medical versus surgical jaundice. | Medical jaundice is where the liver is not functioning correctly. Surgical jaundice is the result of an obstruction in the biliary system. |
| Explain the rocess by which alcohol abuse can result in fatty infiltration of the liver. | Changes in liver function result in a build up of lipids in the liver. The lipids are then deposited in the liver cells. |
| what are the advantages of imaging the biliary ductal system antegrade with PTC versus retrograde with ERCP? What are the disadvantages w/ PTC? | PTC is preferred in the evualation of proximal obstructions involving hepatic duct bifercation, which is difficult w/ ERCP. Although PTC is more invasive & you can only visualize the biliary tree & not treat the complications. You would need to use an additional thereputic precedure after PTC to treat. |
| Explain why cancers of the gallbladder & pancreas carry a poor prognosis? | With gallbladder cancer, metastases to the liver often occurs before diagnoisis is made. With pancreatic cancer, the location & lack of symptoms before local spread & the tumor is well advanced before diagnoises is made. |
| describe the physiologic cause of esophgeal varices in conjunction with cirrhosis of the liver. | the poor blood flow through the liver may lead to portal hypertension, causing the veins to dialate, leading to the varices. |
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