Welcome to questions on Liver Injury and Hepatic System
Q16. Not a predictive factor in suggesting failure of non operative treatment in liver injuries
a) Higher grade of injury
b) Head Injury
c) Cirrhosis
d) Multiple blood transfusions
Q12. Which of the following has the weakest association with Hepatocellular Carcinoma (HCC)
a) Hepatitis B
b) Hepatitis C
c) oral contraceptives
d) Smoking
Q13. Which is not a paraneoplastic syndrome for Hepatocellular Carcinoma
a) Hypercalcemia
b) Hypoglycemia
c) Erythrocytosis
d) Hyperglycemia
Q14. Which is the most common cause of Hemobilia
a) Blunt Trauma Abdomen
b) Iatrogenic injury
c) Cholelithiasis
d) Hepatic artery aneyrysm
Q15. Which is not true regarding Haemangioendothelioma of liver?
a) It is a rare tumor
b) It is highly vascular
c) It involves both lobes of the liver
d)) In 50% cases it has extrahepatic spread.
Answers
16.b
There is some evidence that patients with a high Injury Severity Score, severe liver injuries (grade IV-V), multiple transfusions, or associated chronic liver disease, such as cirrhosis, have an increased risk of failure of nonoperative management. The presence of associated severe head trauma initially was thought to be a relative contraindication for nonoperative management, but subsequent studies failed to confirm this
Surgery Notes
King's college criteria of Liver Transplantation in Acute Liver Failure
Acetaminophen-induced disease
Arterial pH <7.3 (irrespective of the grade of encephalopathy)
or
Grade III or IV encephalopathy, and
Prothrombin time >100 seconds, and
Serum creatinine >3.4mg/dl (301 ?mol/L)
All other causes of fulminant hepatic failure
Prothrombin time >100 seconds (irrespective of the grade of encephalopathy)
or
Any three of the following variables (irrespective of the grade of encephalopathy)
Age <10 years or >40 years
Etiology: non-A, non-B hepatitis, halothane hepatitis, idiosyncratic drug reactions
Duration of jaundice before onset of encephalopathy >7 days
Prothrombin time >50 seconds
Serum bilirrubin >18 mg/dl (308 ?mol/L)