Liver Series: Ischemic Hepatitis
Medgeeks with Andrew Reid
Medgeeks
4.8 ⢠997 Ratings
šļø 14 August 2023
ā±ļø 10 minutes
šļø Recording | iTunes | RSS
š§¾ļø Download transcript
Summary
In our next episode for the Liver Series, we will discuss Ischemic Hepatitis, a condition that occurs when the liver does not receive enough blood flow. This can be caused by a variety of factore, including heart failure, sepsis and shock.
Join Dr. Niket Sonpal as he discusses the symptoms of Ischemic Hepatitis, which can include jaundice, fatigue, nausea, and vomiting. He will also go over the diagnosis and treatments for your patient.
August 14, 2023
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Transcript
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| 0:00.0 | The liver, it's the largest visceral tissue mass in the human body and consists of four lobes. |
| 0:05.9 | Those lobes are the right, left, quadrate, and caudate lobes. |
| 0:10.9 | The liver can weigh up to 2 kilograms and can make up about 2% of a human's overall body weight. |
| 0:17.0 | The right lobe is the largest and fills the majority of the right upper quadrant of the abdomen, |
| 0:22.0 | and the left lobe is much smaller and takes up the median part. |
| 0:26.5 | The blood supply of the liver is made up of the portal vein and the proper hepatic artery. |
| 0:31.4 | The hepatic artery itself arises from the ciliac trunk from the |
| 0:34.8 | common hepatic artery and brings the oxygenated blood to the hepatic tissues |
| 0:38.4 | while the portal vein collects deoxygenated blood from the abdominal contents and filters it, eliminating all the bad things and toxins and processes the nutrients that collects during absorption from the entire GI Tract. |
| 0:51.0 | Now you might be wondering why we're going into this cute little sort of review |
| 0:54.6 | about liver anatomy and blood supply. Well it turns out that complex vascular |
| 0:58.9 | supply and all the things the liver has to do from metabolic standpoint actually make it very vulnerable |
| 1:04.6 | to circulatory disturbances and those individual disturbances then can present as individual |
| 1:10.0 | liver diseases. |
| 1:11.0 | So I'm Dr. Nikakeets Son Paul, your friendly |
| 1:13.0 | neighbor internist and gastrantroologist, and welcome to this |
| 1:15.5 | week's podcast. We're going to talk about vascular conditions of the liver. |
| 1:18.8 | These are going to be ischemic hepatitis and hepatic infarction. Now our first topic is ischemic hepatitis, but many of you've heard of it called |
| 1:38.3 | shock liver, but shock liver is a bit of a misnomer because you can actually |
| 1:42.1 | have ischemic hepatitis in the absence of any type of shock, |
| 1:46.1 | whether that be cardiogenic or septic shock. And so the term that we really prefer is a schemic |
| 1:51.3 | hepatitis. Practically in the past it used to be |
... |
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