ARDMS Abdomen Ultra PASS review (Liver) (2022/2023)

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ARDMS Abdomen Ultra PASS review (Liver) (2022/2023) normal liver CC and AP measurements ✔✔CC 13.0-15.5cm AP 11.3-12.6cm connective tissue surrounding liver ✔✔Glisson's Capsule divides liv... er into sections based on main lobar fissure and vascular landmarks ✔✔Couinad's anatomy tongue-like projection of RLL, more common in women ✔✔Reidel's lobe (normal variant) landmarks used to divide RLL and LLL (4) ✔✔Main lobar fissure GB fossa (inferiorly) IVC (posteriorly) MHV (superiorly) landmark used to divide anterior and posterior RLL (1) ✔✔RHV landmarks used to divide medial and lateral LLL (3) ✔✔Falciform ligament Ligamentum teres LHV landmarks used to divide LLL and caudate lobe (2) ✔✔Ligamentum Venosum LPV located on the posterior-superior surface of RLL, posterior to porta, between LV and IVC ✔✔caudate lobe located on the posterior-inferior surface of LLL ✔✔quadrate lobe 75% of blood supply to liver, contains 80% oxygen ✔✔portal vein porta hepatis contents ✔✔MPV PHA CBD portal vein walls ✔✔contained within Glisson's capsule, bright, echogenic walls portal triad ✔✔PV HA BD formed by the splenic vein and SMV ✔✔MPV normal MPV diameter ✔✔11-12mm branches of the ____ supply the caudate lobe ✔✔LPV normal portal vein flow ✔✔low velocity, phasic, hepatopedal flow; mean velocity 14-18cm/s hepatic artery origination and branching ✔✔celiac trunk > CHA > PHA > R, Middle, and LHA (after porta hepatis) GDA arises from ___ ✔✔celiac > CHA > GDA CBD is formed by the... ✔✔confluence of the cystic duct and the common hepatic duct hepatic vein walls ✔✔not contained within Glisson's capsule, do not have echogenic walls (drain into IVC > RA of heart) RHV located within... ✔✔right intersegmental fissure *divides ant/post RLL MHV located within... ✔✔main lobar fissure *divides RLL/LLL LHV located within... ✔✔left intersegmental fissure *divides medial/lateral LLL HV flow ✔✔low velocity, hepatofugal flow (towards IVC), more pulsatile than PV because of proximity to heart primary fissure, divides RLL/LLL, extends from GB to porta hepatis ✔✔main lobar fissure liver parenchyma appearance ✔✔moderate echogenicity, homogeneous hepatomegaly measurement and additional assessments (3) ✔✔measurement > 15.5cm addtional sonographic signs: 1. RLL below inf pole of R kidney 2. posterior displacement of R kidney inf pole 3. rounded inf border of RLL liver functions (8) ✔✔1. bile formation 2. blood reservoir 3. heat production 4. lymph formation 5. detoxification and storage (glycogen amino acids, fat, Vit [Show More]

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