Liver: Difference between revisions
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→Microscopic evaluation: Format |
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==Microscopic evaluation== | ==Microscopic evaluation== | ||
[[File:Histopathology of liver zones.jpg|thumb|Pathologies can be topographically classified by liver zones. P: portal tract. V: central vein.]] | [[File:Histopathology of liver zones.jpg|thumb|Pathologies can be topographically classified by liver zones. P: portal tract. V: central vein.]] | ||
A general screening includes: | A general screening includes (with further information in sections below): | ||
*Looking at the '''referral/requisition form''' {{Moderate-begin}}and looking at the medical records{{Moderate-end}} for particular conditions to look for or evaluate. {{Moderate-begin}}Perform a severity grading of '''previously known liver diseases'''.{{Moderate-end}} | *Looking at the '''referral/requisition form''' {{Moderate-begin}}and looking at the medical records{{Moderate-end}} for particular conditions to look for or evaluate. {{Moderate-begin}}Perform a severity grading of '''previously known liver diseases'''.{{Moderate-end}} | ||
:*Commonly, this includes to quantify any '''cirrhosis''', at least if the patient had alcohol abuse. | :*Commonly, this includes to quantify any '''cirrhosis''', at least if the patient had alcohol abuse. | ||
:*'''Steatosis''' is also common. | |||
*Signs of '''acute liver failure'''. | |||
*Signs of '''malignancy'''. If a tumor is found: {{Further|Liver tumor|linebreak=no}} | |||
*Signs of '''congestive hepatopathy''' (indicating heart failure). | |||
*Signs of '''inflammation''' at least around the portal triads. | |||
===Cirrhosis=== | |||
<gallery mode=packed heights=170> | <gallery mode=packed heights=170> | ||
File:Histopathology of steatohepatitis with mild fibrosis in the form of fibrous expansion (van Gieson).jpg|Steatohepatitis with '''mild fibrosis''' (van Gieson's stain).<ref name="BoydCain2020"/> | File:Histopathology of steatohepatitis with mild fibrosis in the form of fibrous expansion (van Gieson).jpg|Steatohepatitis with '''mild fibrosis''' (van Gieson's stain).<ref name="BoydCain2020"/> | ||
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</gallery> | </gallery> | ||
{{Further|Cirrhosis}} | {{Further|Cirrhosis}} | ||
===Steatosis=== | ===Steatosis=== | ||
At least classify steatosis by severity: | At least classify steatosis by severity: | ||