TBL 14
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TBL 14
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To help study for TBL 14 (anatomy)
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Question:
Describe conditions that can cause hepatomegaly, and then define the
-most common pathway for metastatic spread of cancer to the liver
-appropriate procedure to obtain a liver biopsy
Answer:
à hepatomegaly is liver enlargement. It’s caused by congestive heart failure (any rise in central venous pressure is directly transmitted to liver), bacterial and viral diseases (like hepatitis), and tumors
à through the portal vein
àneedle for biopsy is directed through the 10th intercostal space in the midaxillary line (because the liver is protected by thoracic cage). Also the patient is asked be in full expiration to reduce costodiaphragmatic recess and to lessen the possibility of damaging the lung
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