biliary system Flashcards

1
Q

GB normal tranverse diameter

A

less than 5 cm

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2
Q

GB wall layers

A

mucosa-inner
muslce-middle
serosa- outer

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3
Q

normal gb wall measurement

A

<3mm

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4
Q

systemic issues that can also cause GB wall thickness

A

aids
congestive heart failure
aids

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5
Q

where are the valves of heister located

A

cystic duct

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6
Q

cystic duct location

A

superior to cbd and inferior to CHD
superior to neck of GB

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7
Q

normal measurement of CHD

A

4mm or less

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8
Q

where does the CBD connect at the duodenum

A

ampulla of vater

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9
Q

what does the sphincter of oddi do

A

controls the flow of bile and pancreatic fluid through ampulla of vater

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10
Q

CBD normal measurement with GB present

A

> 8mm

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11
Q

CBD normal measurement without GB

A

> 12mm

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12
Q

positive fatty meal administration exam

A

ducts increase in size more than 1mm due to increased bile levels with obstruction

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13
Q

choledochal cyst

A

most commonly effects the cbd
congenital weakness of ductal walls

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14
Q

choledochal cyst symptoms

A

jaundice
pain
fever

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15
Q

choledochal cyst lab values

A

increased alp

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16
Q

choledochal cyst associated with

A

cholangitis
pancreatitis
liver abscess

17
Q

carolis disease

A

type 4 choledochal cyst
congenital anomaly
diffuse,saccular, and fusiform dilitation

18
Q

carolis disease symptoms

A

fever
intermittent jaundice
pain

19
Q

complications of carolis disease

A

cholangitis
cholangiocarcinoma
hepatic abscess
sepsis

20
Q

biliary atresia

A

no opening into digestive tract
not connected to digestive system

21
Q

ymptoms of biliary atresia

A

jaundice persists more than 14 days after birth
#1 fatal liver disorder in children

22
Q

biliary atresia lab values

A

increased ALP

23
Q

sono appearance of biliary atresia

A

triangular cord sign: echogenic area above the portal vein birfur.
small or absent GB during fasting