Biliary structures P.377

Question 1

gallstone causing both cholangitis and pancreatitis

where is it located?

Answer 1

at the confluence of the common bile duct and the pancreatic ducts

near the ampulla of Vaet

Question 2

gallstones near ampulla of vater cause what?

Answer 2

both cholangitis and pancreatitis

Question 3

gallstones at the confluence of common bile duct and pancreatic duct cause which pathologies?

Answer 3

both cholangitis and pancreatitis

Question 4

what is the double duct sign?

Answer 4

dilatation of the common bile and pancreatic ducts at CT

Question 5

double duct sign: where is the gall stone?

Answer 5

at the confluence of common bile duct and pancreatic duct (near ampulla of Vater)

Question 6

gall stone at the confluence of the common bile duct and the pancreatic ducts

what sign on CT?

Answer 6

double duct sign

Question 7

what tumor can cause obstruction of bile duct?

Answer 7

tumors that rise in the head of pancreas

usually ductal adenocarcinoma

Question 8

what is the Courvoisier sign?

Answer 8

enlarged gallbladder with painless jaundice

Question 9

enlarged gallbladder with painless jaundice

what is this called?

Answer 9

Courvoisier sign

Question 10

which sign can tumor of pancreas head cause?

Answer 10

courvoisier sign

(enlarged gallbladder + painless jaundice)

Question 11

tumors that rise in the head of pancreas can lead to what?

Answer 11

obstruction of common bile duct

Question 12

obstruction of common bile duct due to pancreas head tumor

symptoms?

Answer 12

enlarged gallbladder with painless jaundice

Question 13

why is painless jaundice a worrisome sign?

Answer 13

pain related to tumours, not stones.

Reason: stones harbour bacteria and cause infection, resulting in pain and fever