Download - Nir Hus Q 25 27 iv
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Q: 22 - 24
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Q22: Common Etiol Hepatocellular CA
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Q23: Dx Test Pancreatic Mass Liver Masses
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Q24: Indic Cholecystect Carcinoid Synd.
Interesting Fact – Most likely, due to detection bias, two years post
Cholecystectomy pts. Show an increased incidence of carcinoid in small bowel.
Sympotms: Flushing, Diarrhea, asthma-type symptoms, R. heart valvular lesions.
If carcinoid is originating in a small bowel primary, then it indicates most-likely mets to Liver.
Tx, - surgical exploration and removal of tumor, also perform cholecystectomy to allow possible future embolization of the liver.