Liver Anatomy and TIPS Procedure Quiz

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Enlarged liver AP diameter

The adult liver is considered enlarged when its anteroposterior diameter exceeds 15cm.

TIPS shunt location

A TIPS shunt is commonly placed between the right hepatic vein and right portal vein.

Propagation speed artifact

A phenomenon that may not occur in certain liver lesions like cavernous hemangioma.

Left hepatic lobe segments

The two segments of the left hepatic lobe are the left anterior and left posterior segments.

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Common source of liver mets

Metastases to the liver most commonly originate from the colon.

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Portal vein branches

The caudate lobe receives branches from both the right and left portal veins.

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Right lobe structure

The correct structure identified by letter A in a diagram is the right lobe of the liver.

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Portal hypertension imaging

In portal hypertension, ultrasound might display a recanalized umbilical vein.

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Waterlily sign

A 'waterlily' sign describes echinococcal cyst pathology in the liver.

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Congenital liver extension

A Reidel lobe describes a congenital extension of the liver anteriorly and inferiorly to the right kidney.

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Biliary obstruction values

Aspartate aminotransferase is not elevated with biliary obstruction.

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Albumin function

Albumin is synthesized by the liver and transports unconjugated bilirubin; decreased amounts can be linked to ascites.

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Subphrenic space

The space indicated by letter A in a diagram is the subphrenic space.

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Ligament separating lobes

The ligament that separates the left lobe from the caudate lobe is the venosum.

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Right hepatic vein function

The right hepatic vein divides the right lobe of the liver into anterior and posterior segments.

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Hepatic pathology diagnosis

The most likely hepatic pathology on ultrasound showing liver issues is liver metastases.

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Cavernous hemangioma

A benign liver tumor that usually does not show propagation speed artifact.

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Common bile duct enlargement

In portal hypertension, a common bile duct can appear enlarged on imaging.

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Hepatic lobe vascular supply

Both the right and left portal veins supply the caudate lobe.

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Unconjugated bilirubin transport

Albumin aids in transporting unconjugated bilirubin, and low levels link to liver conditions.

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Echinococcal cyst characteristics

The 'daughter cyst' signifies an echinococcal cyst, commonly caused by parasitic infection.

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Fatty infiltration function

Fatty infiltration can present ultrasound characteristics that may mimic other liver pathologies.

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Cirrhosis imaging clues

Cirrhosis shows specific ultrasound features, aiding in diagnosis.

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Liver pathology image assessment

Sonographic imaging is crucial for assessing liver pathology, including tumors and conditions.

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Liver mets origin common sources

Liver metastases often arise from the colon, stomach, and pancreas.

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Liver segment involvement

The quadrate lobe of the liver is involved in various blood supply and drainage issues.

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Hepatic anatomical terms

Understanding anatomical terms such as falciform and coronary ligaments is essential for liver studies.

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Portal vein anatomy

Each side of the liver has dedicated vascular supplies from designated portal veins.

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Hepatic viability tests

Tests for assessing liver viability often include portal vein evaluations and other imaging.

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Study Notes

  • An adult liver is considered enlarged when its AP diameter exceeds 15cm.
  • A TIPS (transjugular intrahepatic portosystemic shunt) shunt is most commonly placed between the right hepatic vein and the right portal vein.

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