19 terms

Liver Findings-Diffuse Disease

Hagan Ansert 7th edition Chpt. 10
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Fatty Infiltration Lab values
Normal to elevated hepatic enzymes
Elevated Alk Phos
Elevated Direct Bilirubin
Fatty Infiltration Sonographic Findings
Increased Echogenicity
Increased Attenuation
Impaired visualization fo borders of portal/hepatic structions (secondary to increased attenuation)
Hepatomegaly
May be patchy, inhomogeneous
Focal Sparing
Fatty Infiltration differential considerations
Hepatitis
Cirrhosis
Metastases
Acute Hepatitis Lab Values
Elevated AST, ALT
Elevated Bilirubin
Leukopenia
Acute Hepatitis Sonographic Findings
Nonspecific & Variable
Normal to slightly increased Echogenicity
Increased brightness of portal vein borders
Hepatosplenomegaly
Increased thickness of GB Wall
Acute Hepatitis differential considerations
Fatty Liver
Chronic Hepatitis Lab values
Elevated AST, ALT
Elevated Bilirubin
Leukopenia
Chronic Hepatitis Sonographic Findings
Coarse hepatic parenchyma
Increased echogenicity
decreased visualization brightness of portal triad
Fibrosis may produce soft shadowing
Chronic Hepatitis differential considerations
Cirrhosis
Fatty Liver
Cirrhosis Lab values
Elevated Alk Phos
Elevated Direct Bilirubin
Elevated AST, ALT
Leukopenia
Cirrhosis Sonographic Findings
Coarse liver parenchyma w/nodularity
Increased Echogenicity
Increase Attenuation
Decreased Vascular markings with acute cirrhosis
Hepatosplenomegaly w/ascites
Shrunken liver w/chronic cirrhosis(aslo increased nodularity)
Regeneration of hepatic nodules
Portal hypertension
Cirrhosis differential considerations
Fatty Liver
Hepatitis
Gycogen Storage Disease Lab Values
Disturbance of acid-base balance
Gycogen Storage Disease Sonographic Appearance
Hepatomegaly
Increased Echogenicity
Increased Attenuation
Von Gierke's adenoma(round, homogeneous)
Gycogen Storage Disease differential considerations
Focal Nodular Hyperplasia
Fatty Liver
Hemochromatosis Lab Values
Elevated Iron levels in blood
Hemochromatosis Sonographic appearance
Increased echogenicity throughout liver
Hemochromatosis differential considerations
Cirrhosis
Causes of Fatty Liver
obesity,excessive alcohol intake,poorly controlled hyperlipidemia,diabetes mellitus, excess corticosteroids, pregnancy, Total Parenteral Hyperalimenation(nutrition),Severe hepatitis, Glycogen storage disease, cystic fibrosis, pharmaceutical, chronic illness