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DVT423-AF4
USIDMS Hepatoportal System
| Question | Answer |
|---|---|
| What are the two sources of liver blood supply? | Hepatic Artery and Portal Vein |
| What are limitations to a successful exam? | Patient obesity, diffuse liver disease, ascites, and bowel gas |
| What should the portal vein measure during quiet respiration? | Less than or equal to 13 mm |
| What kind of waveforms do hepatic veins usually exhibit? | Pulsatile, triphasic with both antegrade and retrograde flow |
| What is the hepatic buffer response? | When portal blood flow increases, hepatic arterial blood flow decreases and vice versa. |
| How is portal hypertension defined? | An abnormal increase in portal venous pressure as a result of obstruction of blood flow through the liver |
| What is the most common collateral shunt? | The coronary-gastroesophageal route |
| What is Budd-Chiari Syndrome? | Obstruction of the hepatic venous outflow tract due to a thrombus or tumor. |
| If portal venous thrombosis persists for 12 months without substantial lysis, what can occur? | The development of periportal collateral veins called cavernous transformation. |
| What can be used to decrease the pressure in the portal venous system? | Transjugular Intrahepatic Portosystemic Shunts |