ultrasound tutor 1

Transudative ascites

Benign

Exudative ascites

Malignant

Lesser sac also called

Omental bursa

Space between the bladder and the uterus

Anterior cul de sac

Space between bladder and rectum

Posterior cul de sac

Space between rectum and uterus

Posterior cul de sac

Posterior cul de sac also called

Pouch of Douglas

Anterior pararenal space parts

Pancreas, duodenum, ascending and descending colon, and lymph

Perirenal space parts

Kidneys, ureters, and adrenal glands

Posterior pararenal space

Fat

Diffuse liver disease is

All over the liver

What happens to the labs with diffuse liver disease?

Elevated labs decreased function

Focal benign disease

Consolidated to one area

Symptoms to benign focal disease

Asymptomatic

Benign functional endocrine tumors if ___ it will show symptoms

Produces hormone

Acutitits

Active infection

Acutitis labs

Luekocytosis, and fever

Chronicitis symptoms

Asymptomatic no organ damage

Obstruction will cause blockage ___

Proximal

Hemorrhage, rupture and laceration labs

Low hematocrit and low hemoglobin

The liver is intraperionteal and extra peritoneal?

Intraperitoneal

What is the liver covered with?

Glisson capsule

How many lobes does the liver have?

3

What are the 3 lobes of the liver?

Right, left, and caudate

What does the liver do?

Metabolizes the good, gets rid of the bad, and makes bile

Portal triad consists of what?

Portal vein, hepatic artery, and bile duct

Which lobe is the largest?

Right

Right lobe splits into?

Anterior and posterior

What vein lies in between the right lobe?

Right hepatic vein

What fissure runs through the right lobe?

Right intersegmental fissure

Right and lobe are separated by what fissure and vein?

Main lobar fissure and the middle hepatic vein

The left lobe is divided into what?

Lateral and medial

What fissure and vein runs through the left lobe?

Left intersegmental fissure and the left hepatic vein

What way do the hepatic veins flow?

Hepatofugal

What phasicity is the hepatic veins?

Triphasic

What do hepatic veins do?

Drain blood from liver

Hepatic veins are both?

Intersegmental and interlined

Hepatic veins blank in size closer to the diaphragm?

Increase in size

Portal vein is what time of flow?

Hepatopedal

Portal vein phasicity?

Monophasic

What forms the portal vein?

SMV and the splenic vein

Portal veins are only

Intersegmental

Portal veins blank in size as they get closer to the diaphragm

Decrease

Normal velocity for a portal vein

20 - 44 cm/s

Portal vein normal size

< 13 mm

What number is the caudate lobe?

1

Major blood supply to liver?

MPV

What percent of the portal vein is sent to the liver?

70 %

Is the portal vein deoxygenate or oxygenated?

Partially oxygenated

Where else does the liver receive blood?

Hepatic artery

Hepatic artery is part of what circulation?

Splanchnic circulation

What does sphlancnic circulation consist of?

Celiac trunk, SMA, and IMA

Hepatic artery is oxygenated or deoxygenated?

Highly oxygenated

Umbilical vein is oxygenated or deoxygenated?

Oxygenated

Umbilical vein splits into

Right and left vein

Right umbilical vein turns into

Ligamentum venosum

Right umbilical vein also called

Ductus venosus

Left umbilical vein connects to left PV and turns into blank after birth

Ligamentum teres

Ligamentum teres is also called

Round ligament

Hepatic artery is what type of resistance?

Low resistance

Hepatic artery is intersegmental or interlobar?

Intersegmental

Hepatic veins drain into

Right atrium

Portal vein and the Hepatic artery enters at the

Porta hepatis

Caudate lobe separated by?

Ligamentum venosum

Which is the smallest liver lobe?

Caudate

Caudate lobe what is posterior and anterior?

Anterior is the Ligamentum venosum and posterior is IVC

Hepatic artery velocity?

0.8 - 0.5 cm/s

Liver measurement

Less than 15 cm

Enlargement of the IVC and the hepatic veins is connected to

Rt sided heart failure