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After a stereotactic needle biopsy, it is generally recommended that patients do not drive themselves home. The procedure may involve sedation or local anesthesia, which can impair your ability to operate a vehicle safely. Additionally, you may experience discomfort or fatigue afterward. It's best to arrange for someone to drive you home.

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1w ago

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Liver biopsy?

DefinitionA liver biopsyis a test that takes a sample of tissue from the liver for examination.Alternative NamesBiopsy - liver; Percutaneous biopsyHow the test is performedThe test is usually done in the hospital. You may be given a medication to calm you (sedative) or pain medication by injection before the test. If the biopsy is done through the abdominal wall, you will be lying on your back with your right hand under your head. It is important to be as still as possible.The health care provider will examine the liver and determine the correct spot for the biopsy needle to be inserted. The skin will be cleansed, and a small needle will be used to inject a local anesthetic to numb the area. A small cut is made, and the biopsy needle is inserted. You will be instructed to hold your breath while the biopsy is taken. This is to reduce the chance of puncturing the lung or tearing the liver.The needle is inserted and removed quickly. Pressure will be applied to stop the bleeding. A bandage is placed over the insertion site. Ultrasound is usually used to guide the needle.The procedure can also be performed by inserting a needle into the jugular vein. If the procedure is performed through the jugular vein, you will lie on your back on a table.The internal jugular vein in the neck will be located. The skin will be cleansed, and a small needle will be used to inject a local anesthetic to numb the area. A needle is then inserted to pass a catheter through the veins to the liver. X-ray equipment will be used to check the location of the catheter. A specialized needle is then used through the catheter to take the biopsy sample.If you receive sedation for this test, you will need someone to drive you home.How to prepare for the testTell your health care provider about:Bleeding problemsDrug allergiesMedications you are takingWhether you are pregnantYou must sign a consent form. Blood tests are sometimes done to test your blood's ability to clot. You will be told not eat or drink anything for the 8 hours before the test.For infants and children:The preparation you can provide for this test depends on your child's age and experience. For specific information regarding how you can prepare your child, see the following:Infant test or procedure preparation (birth to 1 year)Toddler test or procedure preparation (1 to 3 years)Preschooler test or procedure preparation (3 to 6 years)School age test or procedure preparation (6 to 12 years)Adolescent test or procedure preparation (12 to 18 years)How the test will feelYou will feel a stinging pain from the anesthetic needle and when the anesthetic is injected. The biopsy needle may feel like deep pressure and dull pain. Some people feel this pain in the shoulder.Why the test is performedThe biopsy helps diagnose many liver diseases. The procedure also helps assess the stage (early, advanced) of liver disease. This is especially important in hepatitis C infection.The biopsy also helps detect:CancerInfectionsThe cause of abnormal levels of liver enzymes that have been found in blood testsThe cause of an unexplained liver enlargementNormal ValuesThe liver tissue is normal.What abnormal results meanThe biopsy may reveal a number of liver diseases, including cirrhosis, hepatitis, or infections such as tuberculosis. It may also indicate cancer.This test also may be performed for:Alcoholic liver disease (fatty liver, hepatitis, or cirrhosis)Amebic liver abscessAutoimmune hepatitisBiliary atresiaChronic active hepatitisChronic persistent hepatitisDisseminated coccidioidomycosisHemochromatosisHepatitis BHepatitis CHepatitis DHepatocellular carcinomaHodgkin's lymphomaNon-alcoholic fatty liver diseaseNon-Hodgkin's lymphomaPrimary biliary cirrhosisPyogenic liver abscessReye syndromeSclerosing cholangitisWilson's diseaseWhat the risks areCollapsed lungComplications from the sedationInjury to the gallbladder or kidneyInternal bleedingReferencesBergasa NV. Approach to the patient with liver disease. In: Goldman L, Ausiello D, eds.Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 149.


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Biopsy - biliary tract?

DefinitionA biliary tract biopsy is a procedure that involves taking a sample of tissue or material from the duodenum, bile ducts, pancreas, or pancreatic duct. The sample is then tested for cancer or other diseases.Alternative NamesCytology analysis - biliary tractHow the test is performedTissue or material samples can be obtained in several ways, depending on the problem.If there is a well-defined tumor, the sample can be taken through an aspiration needle. The puncture site will be numbed. Then the needle is inserted through the skin into the lining or tissue to be tested. A small amount of tissue is taken in through the needle, and the needle is removed. The puncture site is then covered to control any bleeding. Pressure may be applied to the puncture site if bleeding continues.If there is a problem such as a narrowing (stricture) or blockage of the bile ducts or pancreatic ducts, a sample can be taken during procedures such as:Endoscopic retrograde cholangiopancreatography (ERCP)Percutaneous transhepatic cholangiogram (PTCA)If the sample is taken during the ERCP, an endoscope is passed through the mouth into the duodenum. A catheter is inserted through the endoscope and into the bile duct, and the sample is obtained. If a narrowing or blockage is observed, the area will be brushed. Then the sample of the brushed material will be analyzed.If a PTCA is performed, the puncture site will be numbed. The needle will be inserted through the skin into the ducts. A catheter will then be inserted to take a sample from the ducts.How to prepare for the testYou may not be able to eat or drink 8-12 hours or more before the test. Your health care provider will give you specific instructions. You must sign an informed consent form.Arrange transportation for yourself, because the procedure can cause weakness. The health care provider will take your medical history and will examine you to determine the problem.For infants and children:The preparation you can provide for this test depends on your child's age and experience. For specific information regarding how you can prepare your child, see the following:Infant test or procedure preparation (birth to 1 year)Toddler test or procedure preparation (1 to 3 years)Preschooler test or procedure preparation (3 to 6 years)School age test or procedure preparation (6 to 12 years)Adolescent test or procedure preparation (12 to 18 years)How the test will feelIf the biopsy is taken through a needle, you will feel a slight stinging sensation when the skin numbing medicine (local anesthetic) is injected. Even after the anesthetic takes effect, you may feel a cramping or pinching sensation during the procedure.If the specimen is taken during an ERCP, you will receive a spray to help numb your throat. You will also receive sedation and pain medications through a vein (IV). As a result, you should not feel much discomfort during the procedure.Why the test is performedA biopsy can determine whether a tumor started in the liver or spread from another location. It also can determine if a growth is cancerous.A biopsy may also be taken:After a doctor's examination, x-ray, MRI, CT scan, or ultrasound has revealed abnormal growthsTo test for diseases or infectionNormal ValuesTissue that is not cancerous, diseased, or infected is normal.What abnormal results meanCancerous liver tumors (those that either started in the liver or spread to it)CholangiocarcinomaLiver cystsPancreatic cancerPrimary sclerosing cholangitisWhat the risks areThere is some risk of bleeding from the biopsy site. With the needle biopsy, there is a slight chance of infection at the puncture site. Also see the risks for an ERCP if the biopsy is taken through an endoscope.ReferencesAfdahl NH. Diseases of the gall bladder and bile ducts. In: Goldman L, Ausiello D, eds.Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier;2007:chap 159.


When you drive your car hesitates to go and the rpm goes up and not the speed needle?

this means that the clutch plate is slipping, you should also notice a funny smell from under the bonnett