Hyperemia & Congestion
Q. 1
All of the following are true about chronic venous congestion of liver except –
| A |
Gamma Gandy bodies are seen |
|
| B |
Nutmeg liver is seen |
|
| C |
Dilated blood channels are seen |
|
| D |
All |
Q. 1
All of the following are true about chronic venous congestion of liver except –
| A |
Gamma Gandy bodies are seen |
|
| B |
Nutmeg liver is seen |
|
| C |
Dilated blood channels are seen |
|
| D |
All |
Ans.
A
C
Explanation:
Ans. is ‘a’ i.e., Gamma Gandy bodies are seen
Gamma Gandy bodies are seen in the congestion of spleen (not liver).
Q. 2
Venous congestion of liver affects ‑
| A |
Midzone |
|
| B |
Perihepatic zone |
|
| C |
Centrilobular zone |
|
| D |
All the above |
Q. 2
Venous congestion of liver affects ‑
| A |
Midzone |
|
| B |
Perihepatic zone |
|
| C |
Centrilobular zone |
|
| D |
All the above |
Ans.
Explanation:
Ans. is ‘c’ i.e., Centrilobular zone
Nutmeg liver or chronic passive congestion or Congestive hepatopathy :‑
- Chronic passive congestion is liver dysfunction due to venous congestion, usually right sided cardiac dysfunction (right sided cardiac decompenstion).
- When there is right sided cardiac decompensation, the blood begins to return back in the IVC and hepatic veins.
- This results in increase venous pressure and passive congestion of centrilobular region and hemorrhagic necrosis of centrilobular region.
- The liver takes on a variegated mottled appearance, reflecting hemorrhage and necrosis in the centrilobular region, known as ‘nutmeg liver’.
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