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IPLab:Lab 4:Chronic Passive Congestion

1,112 bytes added, 02:37, 22 August 2013
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* <spoiler text="What is the most common cause of chronic passive congestion of the liver?">Right-sided heart failure. Also, obstruction of the inferior vena cava or hepatic vein (usually associated with neoplasia and/or a hypercoagulable state leading to thrombosis) can cause hepatic congestion</spoiler>
* <spoiler text="Why is the central vein region most severely affected by chronic passive congestion?">The central vein region is farthest away from the arterial (oxygenated) blood so this region has the lowest oxygen tension anyway. With congestion and stasis, this central vein region becomes hypoxic which results in liver cell atrophy and necrosis. The peripheral regions are hypoxic but and develop fatty change. Thus, the dark red, congested, and necrotic central vein region that is surrounded by yellow fatty change gives the morphology that is termed "nutmeg liver."</spoiler>
 
== Additional Resources ==
=== Reference ===
* [http://emedicine.medscape.com/article/151792-overview eMedicine Medical Library: Cardiac Cirrhosis and Congestive Hepatopathy]
* [http://emedicine.medscape.com/article/156330-overview eMedicine Medical Library: Myocarditis]
* [http://emedicine.medscape.com/article/2069746-overview eMedicine Medical Library: Pediatric Congestive Heart Failure]
* [http://www.merckmanuals.com/professional/hepatic_and_biliary_disorders/fibrosis_and_cirrhosis/cirrhosis.html Merck Manual: Cirrhosis]
 
=== Journal Articles ===
* Naschitz JE, Slobodin G, Lewis RJ, Zuckerman E, Yeshurun D. [http://www.ncbi.nlm.nih.gov/pubmed/10874271 Heart diseases affecting the liver and liver diseases affecting the heart]. ''Am Heart J'' 2000 Jul;140(1):111-20.
 
=== Images ===
* [http://peir.path.uab.edu/library/index.php?/tags/672-chronic_passive_congestion PEIR Digital Library: Chronic Passive Congestion Images]
* [http://library.med.utah.edu/WebPath/LIVEHTML/LIVERIDX.html#1 Webpath: Hepatic Pathology]
 
== Related IPLab Cases ==
* [[IPLab:Lab 8:Hepatitis B|Lab 8: Liver: Hepatitis B]]
{{IPLab 4}}
[[Category: IPLab:Lab 4]]
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