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Acute Chronic Hepatitis Sonology Urdu

Fahim Shezad
Fahim Shezad

In this presentation you will learn about basic concept of hepatitis , ultrasound of hepatitis, report of hepatitis

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FAHIM SHEZAD MD, DHMS, MSC, PGD
Hepatitis. Hepatitis is an inflammation of the liver According to the WHO, Hepatitis is an inflammation of the liver. The condition can be self-limiting or can progress to fibrosis (scarring), cirrhosis or liver cancer.
Types of Hepatitis Depends on cause
Viral Hepatitis Acute Viral Hepatitis HVA & HVE Chronic Viral Hepatitis HCV, HBV, HVD
Signs and symptoms of acute hepatitis fatigue dark urine pale stool abdominal pain loss of appetite unexplained weight loss yellow skin and eyes
Ultrasound of Acute Hepatitis Size of liver may be increased Starry sky appearance of liver Due to hypoechoic (decreased Echogenicity) texture of liver portal trades look like more prominent and bright.
Acute Hepatitis Thick / edematous wall of GB Contraction of GB even after proper fasting
US liver Report Acute Hepatitis Liver may enlarged in size Starry sky appearance hypoechoic in texture Decreased echotexture Prominent / dilated portal triads portal radicals are dilated Gallbladder thick walled ( more than 3 mm) Gallbladder contracted
Chronic Viral Hepatitis HBV HCV HDV
Chronic Hepatitis symptoms In about two thirds of people, chronic hepatitis develops gradually, often without causing any symptoms of a liver disorder until cirrhosis occurs. In the remaining one third, it develops after a bout of acute viral hepatitis that persists or returns (often several weeks later). Symptoms of chronic hepatitis often include malaise, poor appetite, and fatigue. Sometimes affected people also have a low- grade fever and some discomfort in the upper abdomen. Jaundice
Continue.. first specific symptoms occur when liver disease has progressed and there is evidence of cirrhosis. Symptoms can include An enlarged spleen Small spiderlike blood vessels visible in the skin (called spider angiomas) Redness of the palms Accumulation of fluid within the abdomen ascites A tendency to bleed (coagulopathy) hepatic encephalopathy
CLD Persistence of biochemical abnormalities Beyond six months is labeled as chronic liver disease. Most cases of chronic liver disease are normal on sonography as it is a histopathological diagnosis. It is manifested only when cirrhosis develop.
Ultrasound of Chronic Hepatitis / CLD Ultrasound is only helpful to exclude out Chronic hepatitis when Cirrhosis develop
Cirrhosis It is CLD associated with necrosis of liver cells followed by fibrosis and regenerating nodule formation. this distorts the vascular and lobular architecture of the liver , which can be seen on ultrasound.
Ultrasound features of CLD Coarse echotexture Heterogeneous echotexture Surface nodularity and irregularity.
Dysplastic nodules formation, Ascites, Splenomegaly
Report Normal / Small in size liver Coarse in texture Altered in texture Irregular outer margins Nodular outer surface spleen enlarged Portal hypertension may seen Ascites is seen
If you want to watch this one in video vist following link https://www.youtube.com/watch?v=rULF Yh8P6f8&t=64s Contact on whtsapp 03442128730 Thanks

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Acute Chronic Hepatitis Sonology Urdu

  • 2. Hepatitis. Hepatitis is an inflammation of the liver According to the WHO, Hepatitis is an inflammation of the liver. The condition can be self-limiting or can progress to fibrosis (scarring), cirrhosis or liver cancer.
  • 3. Types of Hepatitis Depends on cause
  • 4. Viral Hepatitis Acute Viral Hepatitis HVA & HVE Chronic Viral Hepatitis HCV, HBV, HVD
  • 5. Signs and symptoms of acute hepatitis fatigue dark urine pale stool abdominal pain loss of appetite unexplained weight loss yellow skin and eyes
  • 6. Ultrasound of Acute Hepatitis Size of liver may be increased Starry sky appearance of liver Due to hypoechoic (decreased Echogenicity) texture of liver portal trades look like more prominent and bright.
  • 7. Acute Hepatitis Thick / edematous wall of GB Contraction of GB even after proper fasting
  • 8. US liver Report Acute Hepatitis Liver may enlarged in size Starry sky appearance hypoechoic in texture Decreased echotexture Prominent / dilated portal triads portal radicals are dilated Gallbladder thick walled ( more than 3 mm) Gallbladder contracted
  • 10. Chronic Hepatitis symptoms In about two thirds of people, chronic hepatitis develops gradually, often without causing any symptoms of a liver disorder until cirrhosis occurs. In the remaining one third, it develops after a bout of acute viral hepatitis that persists or returns (often several weeks later). Symptoms of chronic hepatitis often include malaise, poor appetite, and fatigue. Sometimes affected people also have a low- grade fever and some discomfort in the upper abdomen. Jaundice
  • 11. Continue.. first specific symptoms occur when liver disease has progressed and there is evidence of cirrhosis. Symptoms can include An enlarged spleen Small spiderlike blood vessels visible in the skin (called spider angiomas) Redness of the palms Accumulation of fluid within the abdomen ascites A tendency to bleed (coagulopathy) hepatic encephalopathy
  • 12. CLD Persistence of biochemical abnormalities Beyond six months is labeled as chronic liver disease. Most cases of chronic liver disease are normal on sonography as it is a histopathological diagnosis. It is manifested only when cirrhosis develop.
  • 13. Ultrasound of Chronic Hepatitis / CLD Ultrasound is only helpful to exclude out Chronic hepatitis when Cirrhosis develop
  • 14. Cirrhosis It is CLD associated with necrosis of liver cells followed by fibrosis and regenerating nodule formation. this distorts the vascular and lobular architecture of the liver , which can be seen on ultrasound.
  • 15. Ultrasound features of CLD Coarse echotexture Heterogeneous echotexture Surface nodularity and irregularity.
  • 16. Dysplastic nodules formation, Ascites, Splenomegaly
  • 17. Report Normal / Small in size liver Coarse in texture Altered in texture Irregular outer margins Nodular outer surface spleen enlarged Portal hypertension may seen Ascites is seen
  • 18. If you want to watch this one in video vist following link https://www.youtube.com/watch?v=rULF Yh8P6f8&t=64s Contact on whtsapp 03442128730 Thanks