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Sonographic Pathology
RUQ Pain
85
Health Care
Professional
02/06/2006

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Cards

Term
albumin
Definition
byproduct of protein metabolism that decreases with parenchymal liver disease
Term
Alpha fetoprotein
Definition
plasma protein produced in the fetal liver and by hepatocellular carcinomas; elevated levels may also be seen in cirrhosis and hepatitis
Term
acute hepatitis
Definition
hepatitis that resolves within 4 months after the initial infection
Term
Alanine aminotransferase
Definition
a liver enzyme formerly referred to as serum glutamic-pyruvic transaminase
Term
ascites
Definition
an accumulation of serous fluid within the potential spaces of the abdomen
Term
aspartate aminotransferase
Definition
a liver enzyme formerly referred to as serum glutamic-oxaloacetic transaminase
Term
bilirubin
Definition
end product of red blood cell metabolism that is stored in the liver and used to help metabolize fatty foods
Term
chronic hepatitis
Definition
persistence of changes associated with hepatitis for more than 6 months
Term
cirrhosis
Definition
degenerative disease of the liver in which the hepatocytes are gradually replaced with fibrous and fatty tissues
Term
Cruveilhier-Baumgarten syndrome
Definition
the develoment of paraumbilical collateral flow in cases of portal hypertension
Term
Direct bilirubin
Definition
bilirubin that has beeen absorbed by the hepatocytes and is then water-soluble; also known as conjugated bilirubin
Term
esophageal veins
Definition
common collateral pathway for the hepatic circulation in cases of portal hypertension
Term
fat sparing
Definition
areas of normal liver parenchyma not replaced with fatty tissues occasionally seen in patients with fatty liver disease
Term
fatty liver disease
Definition
the accumulation of fat within hepatic parenchyma that is often associated with alcoholism, obesity, and diabetes
Term
Gamma-glutamyl transpeptidase
Definition
aids in the transport of amino acids across cell membranes; elevates in cases of parenchymal liver disease and is especially sensitive to alcohol-related liver disease; often parallels alkaline phosphatase (ALP)
Term
hepatitis
Definition
an inflammatory condition of the liver caused by a viral infection or a reaction to drugs or alcohol
Term
hepatocellular disease
Definition
dysfunction of the hepatocytes
Term
hepatofugal
Definition
portal vein blood flow away from the liver
Term
hepatoma
Definition
primary liver carcinoma or hepatocellular carcinoma
Term
hepatopetal
Definition
portal vein blood flow toward the liver
Term
Hodgkin's lymphoma or Hodgkin's disease
Definition
painless enlargement of the lymph nodes and lymphoid tissues of the body
Term
indirect bilirubin
Definition
bilirubin present in the blood stream and not yet absorbed by the hepatocytes; water-insoluble; also known as unconjugated bilirubin
Term
Levovist
Definition
an ultrasound contrast agent
Term
lymphadenopathy
Definition
diseases of the lymph nodes
Term
lymphoma
Definition
neoplastic disease of lymphoid tissues
Term
lympho sarcoma
Definition
diffuse lymphoma
Term
meso caval shunt
Definition
blood is shunted from the superior mesenteric vein directly into the inferior vena cava
Term
Morison's pouch
Definition
the potential space located between the liver and the right kidney
Term
Non-Hodgkin's lymphoma
Definition
malignant lymphoma arising from lymphoid tissues of the immune system
Term
Optison
Definition
an intravenously administered ultrasound contrast agent
Term
periportal cuffing
Definition
thickening of the portal vein walls
Term
portacaval shunt
Definition
shunts blood from the main portal vein at the confluence of the superior mesenteric vein and splenic vein directly into the inferior vena cava
Term
portal hypertension
Definition
increased size and pressure within the portal venous system often leading to collateral vessels and reversed flow within the portal vein
Term
prothrombin time
Definition
determines the time necessary for blood clotting to occur; increases in cases of parenchymal liver disease or vitamin K deficiency
Term
recanalized umbilical vein
Definition
opening of the potential space located within the ligament of teres left by the fetal umbilical vein
Term
sarcoma
Definition
malignant tumor of the connective tissues or lymphoid tissues
Term
splenorenal shunt
Definition
blood is shunted from the splenic vein into the left renal vein
Term
subphrenic spaces
Definition
the potential spaces located between the liver and the diaphragm
Term
transjugular intrahepatic portosystemic shunt
Definition
a procedure that involves the placement of a shunt to direct blood past the hypertensive portal venous system or venous varices and aid in the return of venous blood to general circulation
Term
venous collateral flow
Definition
alternative circulatory pathways that develop after pathologic changes prevent normal vascular pathways from serving as an adequate source of blood to an organ
Term
aflatoxin
Definition
a carcinogenic fungus found in grains (corn, wheat) and peanuts
Term
angiomyolipoma
Definition
a tumor comprised of fat, vessels, and muscle tissue that is frequently identified in the kidneys and occurs rarely in the liver
Term
angiosarcoma
Definition
the most common malignant disease of mesenchymal origin in the liver
Term
Budd-Chiari syndrome
Definition
a rare syndrome characterized by the occlusion of the hepatic veins or the inferior vena cava or both
Term
cystadenoma
Definition
rare cystic tumor comprised of biliary epithelial cells that may undergo malignant transformation
Term
diabetes mellitus
Definition
a disorder marked by a decrease or lack of secretion of insulin by the pancreas
Term
epithelioid hemangioendothelioma
Definition
a rare malignant vascular tumor of endothelial origin that sonographically appears as multiple hypoechoic lesions in the periphery of the liver
Term
fibrolamellar carcinoma
Definition
a rare malignant neoplasm; occurs in younger patients than does hepatocellular carcinoma; is of hepatocellular origin, although distinct from hepatocellular carcinoma; serum alpha-fetoprotein level is usually normal
Term
hepatocytes
Definition
cells in the parenchyma of the liver that perform the metabolic functions
Term
Kupffer's cells
Definition
phagocytic cells in the parenchyma of the liver
Term
leiomyomata
Definition
benign, smooth muscle tumors frequently seen in the uterus; also known as fibroids
Term
lymphangioma
Definition
a mass comprised of dilated lymph vessels
Term
lymphoma
Definition
a neoplasm of lymphoid tissue; the liver may be a primary site
Term
neoplasm
Definition
abnormal tissue growth, malignant or benign
Term
nodular regenerative hyperplasia
Definition
a rare benign process of diffuse lever involvement by nodules comprised of hyperplastic hepatocytes; associated with portal hypertension
Term
tuberous sclerosis
Definition
disorder characterized by mental retardation, seizures, and skin lesions; associated with the development of lesions in multiple systems within the body
Term
Von Gierke's disease
Definition
an autosomal recessive disease marked by excessive storage of glycogen in the liver, kidneys, and intestinal tract
Term
abscess
Definition
-RUQ pain, fever, jaundice, nausea na dvomiting, anorexia, fatigue
-round or oval; hypoechoic lesion; fluid-debris level; complex, irregular wall; with or without enhancement
Term
cysts
Definition
-asymptomatic, pain when cysts are large
-round or oval; anechoic, thin-walled, posterior enhancement
Term
hematoma
Definition
-RUQ pain, hepatomegaly
-echogenic to cystic, septations
Term
choledocholithiasis
Definition
-RUQ pain, jaundice
-Echogenic foci that shadow in ducts; with or without ductal dilation
Term
cholangiocarcinoma
Definition
-painless jaundice, pruritus, abdominal pain, anorexia, malaise, weight loss
-liver mass, mass within ducts, intrahepatic ductal dilation
Term
cholangitis
Definition
-fever, abdominal pain, jaudice
-biliary ductal dilation, thickening of ductal walls
Term
cholelithiasis
Definition
-asymptomatic, RUQ pain, pain after fatty meals, epigastric pain, nausea and vomiting
-echogenic foci that shadow and move
Term
cholecystitis
Definition
-RUQ pain, fever
-thickened GB wall; gallstones and sludge may be seen; WES sign
Term
adenomyomatosis
Definition
-asymptomatic, RUQ pain
-anechoic or echogenic foci in GB wall; wall thickening or comet-tail or shadow artifacts may be seen
Term
cholesterolosis
Definition
-asymptomatic, RUQ pain
-multiple polypoid lesions in GB wall; comet-tail artifact may be seen
Term
adenocarcinoma
Definition
-RUQ pain, weight loss, anorexia, jaundice, nausea and vomiting, hepatomegaly
-irregular polypoid mass, localized wall thickening, calcification of GB wall
Term
angiitis
Definition
inflammation of a vessel
Term
atherosclerosis
Definition
a condition, especially in older persons, in which plaque builds on arterial walls and causes narrowing of the lumen
Term
carcinoembryonic antigen
Definition
an antigen present in trace amounts in adult tissue; when blood test results reveal elevated serum levels, cancer is suspected
Term
exudate
Definition
fluids that may contain cells, serum, or purulent material and ooze from tissues
Term
gallbladder polyp
Definition
a projection of soft tissue from the wall into the gallbladder lumen
Term
leukocytosis
Definition
an increase in white blood cells that is often associated with infection
Term
Murphy's sign
Definition
pain on palpation over the area of the gallbladder
Term
palliative
Definition
treatment given for the comfort of the patient but not as a cure
Term
porcelain gallbladder
Definition
calcification of the gallbladder wall; associated with gallbladder cancer
Term
pruritus
Definition
itching
Term
total parenteral nutrition
Definition
a solution administered intravenously to provide nutritional requirements
Term
hemangioma
Definition
-asymptomatic, RUQ pain
-round or oval, well-difined, hyperechoic; may enhance
Term
adenoma
Definition
-RUQ pain
-encapsulated, well-defined, hyperechoic lesion; peripheral vasculature with Doppler scan
Term
Focal nodular hyperplasia
Definition
-usually asymptomatic
-isoechoic, hyperechoic, or hypoechoic lesion; homogeneous, central vascular scar with Doppler scan
Term
lipoma
Definition
-usually asymptomatic
-highly echogenic lesion; propagation speed artifact
Term
hepatocellular carcinoma
Definition
-palpable mass, hepatomegaly, fever, signs of cirrhosis
-hypoechoic mass when small; hyperechoic and inhomogeneous when large, diffuse inhomogeneity; peripheral and intratumoral flow with Doppler scan
Term
metastasis
Definition
-jaundice, pain, weight loss, anorexia
-multiple lesions, variable echogenicity; diffuse inhomogeneity
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