Hemodynamics in SMA: What is the flow resistance in the SMA when fasting?
When fasting, the flow is high resistance in the SMA
Does the image demonstrate normal or abnormal renal artery flow?
Normal
What are the top 3 primary tumor sites that metastasize to the liver?
Colon, breast, and lung
The common bile duct extends inferiorly from the union of the common hepatic duct and cystic duct to end at what structure?
The CBD ends at the duodenum
-Most commonly encountered intraluminal anomaly of the IVC.
IVC thrombus
Hemodynamics is SMA: What is the flow resistance in the SMA after eating?
After eating the SMA has low resistance.
The urinary bladder is connected to the umbilicus by what?
Median umbilical ligament (urachus)
What fissure does the middle hepatic vein run through?
Main lobar fissure
Name the sign of the gallbladder:
Appears when the gallbladder is filled with stones seen as a strong shadow in RUQ.
Wes sign or double arc sign
-Most common organism causing infection in AIDS patients
Pneumocystis carinii
Is the IVC waveform normal or abnormal?
Normal
The layers of the bladder from innermost to outermost?
Inner mucosa
Submucosa
Muscularis
Outer serosa
What flow should TIPS demonstrate? TIPS are placed between what vessels?
Hepatofugal (away from the liver). Hepatic vein and portal vein.
What two ducts join to form the ampulla of Vater?
Common bile duct and the main pancreatic duct (Duct of Wirsung)
May cause pain and ureteric obstruction
Most commonly caused from analgesic (Pain relief medication) abuse
Can also be caused by diabetes or urinary tract infection
Papillary necrosis
There are two venous tributaries we discussed this semester that connect to the left renal vein, what are they?
Left adrenal vein and left gonadal vein
Extra credit:
Left inferior phrenic vein
Small branches from kidney capsule, proximal ureter and renal pelvis
What renal pathology presents with sudden onset hypertension and uncontrollable hypertension?
Renal artery stenosis
Liver segmentation: Describe segment 5 of the liver.
Right anterior inferior
Name the category of jaundice:
Jaundice due to destructive red blood cell disease called hemolysis. This pathology occurs prior to the liver.
Hemolytic jaundice (Pre-Hepatic)
-Most common cause of extrahepatic obstructive jaundice
-Patient presents with RUQ pain and jaundice
-Elevated conjugated serum bilirubin and alkaline phosphatase
Choledocholithiasis
What is the agency that provides abdominal aortic aneurysm screening criteria recommendations?
U.S Preventive Services Task Force
Kidneys develop embryonically from two sources, what are they?
Ureteric bud and metanephrogenic blastoma
What are the 6 liver functions we discussed this semester?
Metabolizes: stores, converts, and releases nutrients.
Detoxification: waste absorbed by intestines
Synthesis: blood proteins
Blood reservoir: stores blood
Heat: production
Reticuloendothelial tissue activity: phagocytosis
Embryology: During the 5th week of development a bud grows off of what structure that becomes the gallbladder?
Hepatic diverticulum
-Zebra stripe appearance
-Comet tail artifact
-Diverticula accumulate stones or sludge
Adenomyomatosis