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KaBoom > Biliary System - Part 7 > Flashcards

Biliary System - Part 7 Flashcards

1
Q

Chronic cholecystitis

A

Recurrent inflammation secondary to infection, obstruction, or metabolic disorders

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2
Q

What are the clinical features for chronic cholecystitis? (7)

A
  1. Asymptomatic
  2. Vague RUQ pain
  3. Heartburn
  4. Fatty food intolerance
  5. Intermittent nausea/vomiting
  6. Mild increase in AST and ALT levels
  7. Possible increase in alkaline phosphatase and bilirubin
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3
Q

What is the US appearance for chronic cholecystitis? (5)

A
  1. Small or contracted GB
  2. Thick, hyper echoic walls
  3. Cholelithiasis
    - 90% of cases
  4. Posterior acoustic shadowing
  5. Sludge
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4
Q

What are 4 differential diagnosis for chronic cholecystitis?

A
  1. Non-fasting patient
  2. Cholelithiasis
  3. PorcelainGB
  4. Carcinoma
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5
Q

What causes hydrops? (6)

A
  1. Obstruction of the cystic duct
  2. Prolonged biliary stasis
  3. Surgery
  4. Hepatitis
  5. Gastroenteritis
  6. Diabetes
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6
Q

What are the clinical findings of hydrops? (4)

A
  1. Asymptomatic
  2. RUQ or epigastric pain
  3. Nausea/vomiting
  4. Palpable mass
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7
Q

What is the US appearance of hydrops? (3)

A
  1. Enlargement
  2. GB diameter
    exceeding 4cm
  3. Thin, hyper echoic walls
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8
Q

What are 3 differential diagnosis for hydrops?

A
  1. Normal GB
  2. Hepatic cyst
  3. Phrygian cap
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9
Q

What causes GB varices? (3)

A
  1. Portal hypertension
  2. Portal vein thrombosis
  3. Cholecystitis
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10
Q

What is the US appearance for GB varices? (2)

A
  1. Multiple tortuous tubular structures in the GB periphery

2. Vascular flow

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11
Q

What are 2 differential diagnosis for GB varices?

A
  1. Intestinal fluid

2. Normal vessels

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12
Q

Cholangiocarcinoma located at the junction of the right and left hepatic ducts is termed a

A

Klatskin tumour

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13
Q

A 73-year-old patient complains of vague RUQ pain. A hyper echoic focus with marked posterior acoustic shadowing is demonstrated in the anterior wall of the GB. This history is most consistent with which of the following pathologies?

A

Porcelain GB

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14
Q

Non-shadowing, low-amplitude echoes located in the dependent portion of the gallbladder best describes

A

Biliary sludge

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15
Q

A patient presents with a sudden onset of abdominal pain and extreme tenderness over the GB fossa. Localized GB wall thickening is visualized on US. This most likely represents

A

Acute cholecystitis

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16
Q

The distal portion of the CBD terminates with which structure?

A

The duodenum

17
Q

In the portal hepatis, where is the CHD located?

A

Lateral to the proper hepatic artery

18
Q

Dilatation of the intrahepatic ducts with normal extrahepatic ducts is characteristic of

A

Klatskin tumour

KaBoom (81 decks)

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