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ABDOMEN ARDMS > BILIARY TRACT > Flashcards

BILIARY TRACT Flashcards

1
Q

A SPIRAL FOLD WHICH CONTROLS BILE FLOW IN THE CYSTIC DUCT

A

VALVE OF HEISTERS

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2
Q

AN ABNORMAL SACCULATION OF THE NECK OF THE GB

A

HARTMANNS POUCH

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3
Q

A FOLD BETWEEN THE BODY AND FUNDUS OF GB

A

PHYRGIAN CAP

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4
Q

GB IS LOCATED AT THE INFERIOR END OF WHAT FISSURE

A

MAIN LOBAR FISSURE

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5
Q

RT AND LT HEPATIC DUCTS JOIN TO FORM THE

A

COMMON HEPATIC DUCT

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6
Q

_____ AND ________ (DUCT OF WIRSUNG) JOIN TO FORM THE

A

AMPULLA OF VATER

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7
Q

BLOOD SUPPLY TO THE GB IS FROM THE

A

CYSTIC ARTERY

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8
Q

A FOLD BETWEEN THE BODY AND THE NECK (INFUNDIBULUM) OF THE GB

A

JUNCTIONAL FOLD

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9
Q

THE CBD PASSES _____ TO THE DUODENUM AND PANCREATIC HED JOINING THE MAIN PANCREATIC DUCT AT THE AMPULLA OF VATER

A

POSTERIOR

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10
Q

NORMAL GB WALL THICKNESS

A

< 3MM

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11
Q

THE MOST COMMON CAUSE OF GB WALL THICKNESS IS

A

CHOLECYSTITIS

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12
Q

CALCIUM BILIRUBINATE GRANULES AND CHOLESTEROL CRYSTALS; ASSOCIATED WITH PROLONGED FASTING

A

SLUDGE (TUMEFACTIVE SLUDGE IF THICK AND MAY APPEAR AS MASS)

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13
Q

CHOLELITHIASIS=

A

GALLSTONES

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14
Q

A GALLBLADDER FILLED WITH STONES MAY BE SEEN AS A STRONG SHADOW IN THE RUQ THIS IS CALLED THE

A

DOUBLE ARC OR THE WES SIGN

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15
Q

-GB WALL INFLAMMATION DUE TO CYSTIC DUCT OBSTRUCTION
-RUQ PAIN, FEVER, LEUKOCYTOSIS
-MURPHYS SIGN

A

ACUTE CHOLECYSTITIS

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16
Q

-MULTIPLE PREVIOUS EPISODES D/T ACUTE CHOLECYSTITIS
-SONOGRAPHICALLY DOES NOT APPEAR DIFFERENT FROM ACUTE CHOLECYSTITIS

A

CHRONIC CHOLECYTITIS

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17
Q

-ACUTE CHOLECYSTITIS D/T GB WALL ISCHEMIA AND INFECTION
-DIABETIC PATIENTS
-GAS IS FOUND IN GB WALL OR BILIARY TREE
-CHAMPAGNE SIGN

A

EMPHYSEMATOUS CHOLECYSTITIS

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18
Q

PROCEDURE FOR CREATING AN ANASTAMOSIS OF THE CBD TO JEJUNUM

A

CHOLEDOCHOJEJUNOSTOMY

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19
Q

-RUQ PAIN, FEVER, LEUKOCYTOSIS
-GB FILLS WITH PURULENT MATERIAL

A

EMPYEMA OF THE GB

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20
Q

THE MOST COMMON SITE OF PERFORATION? LOCALIZED FLUID COLLECTION IS THE GB FOSSA IS COMMONLY SEEN

A

GB FUNDUS

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21
Q

ACUTE CHOLECYSTITIS W/O THE PRESENCE OF GALLSTONES, TYPICALLY SECONDARY TO EVENT IN CRITICALLY ILL PATIENTS IS CALLED

A

ACALCULOUS CHOLECYSTITIS

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22
Q

-ASSOCIATED WITH CHRONIC CHOLECYSTITIS AND OBSTRUCTION
-SLUDGE LIKE MATERIAL WITH HIGH CONCENTRATION OF CALCIUM

A

MILK OF CALCIUM BILE(LIMY BILE)

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23
Q

CALCIFICATION OF THE GB WALL ASSOCIATED WITH CHRONIC CHOLECYSTITIS AND GB CANCER

A

PORCELIN GB

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24
Q

-ASSOCIATED WITH KAWASAKI DISEASE
-COMMONLY CAUSED BE AN IMPACTED STONE IN THE NECK OF THE GB OR IN THE CYSTIC DUCT

A

HYDROPS, ALSO KNOWN AS MUCOCELE OF THE GB

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25
Q

POLYPS THAT ARE LESS THAN ___MM IN DIAMETER ARE UNLIKELY TO BE CANCEROUS.

A

10, SIZE IS THE MOST IMPORTANT INDICATOR OF MALIGNANCY

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26
Q

-STRAWBERRY GB
-LIPIDS (TRIGLYCERIDES AND CHOLESTEROL) ARE DEPOSITED IN THE GB WALL

A

CHOLESTEROLISIS ALSO KNOWN AS HYPERPLASTIC CHOLECYSTOSIS

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27
Q

S/S ARE NONSPECIFIC AND MIMIC CHOLECYTITIS

A

GB CARCINOMA

28
Q

-HYPERPLASTIC CHANGES INVOLVING THE GB WALL CAUSING OVERGROWTH OF THE MUCOSA, THICKENING, AND FORMATION OF DIVERTICULA
-ASSOCIATED WITH COMET TAIL ARTIFACT (REVERBERATION)

A

ADENOMYOMATOSIS

29
Q

BILIARY OBSTRUCTION IS MOST LIKELY DUE TO PATHOLOGY IN THE

A

DISTAL CBD

30
Q

TWO MOST COMMON LESIONS OF BILIARY OBSTRUCTION

A

GALLSTONES AND CARCINOMA OF THE HEAD OF THE PANCREAS

31
Q

BILIARY OBSTRUCTION ELEVATED LAS INCLUDE

A

ALP,GGT, CONJUGATED BILIRUBIN

32
Q

OBSTRUCTION OF THE DISTAL CBD RESULTS IN PROGRESSIVE DILATION OF THE

A

EXTRAHEPATIC AND INTRAHEPATIC BILIARY TREE

33
Q

NORMAL CBD MEASUREMENT

A

LESS THAN OR EQUAL TO 5MM

34
Q

CBD INCREASES WITH AGE WITH ___MM BEING UPPER LIMITS FOR THE ELDERLY

A

10

35
Q

THESE SIGNS REFER TO THE DILATED HEPATIC DUCT ADJACENT TO THE PORTAL VEIN

A

PARALLEL CHANNEL SIGN OR SHOTGUN SIGN

36
Q

A HORMONE THAT IS RELEASED INTO THE BLOOD BY THE INGESTION OF FATTY FOODS, CAUSES GB CONTRACTION

A

CHOLECYSTOKININ

37
Q

POSTIVE RESULT OF FATTY MEAL=

A

DUCT INCREASES IN SIZE

38
Q

MOST COMMON CAUSE OF EXTRAHEPATIC OBSTRUCTIVE JAUNDICE; FORMATION OR PRESENCE OF CALCULI IN THE BILE DUCTS

A

CHOLEDOCHOLITHIASIS

39
Q

CHOLEDOCHOLITHIASIS LABS THAT INCREASE ARE

A

ALP,GGT, CONJUGATED BILIRUBIN

40
Q

EXTRAHEPATIC BILIARY OBSTRUCTION DUE TO AN IMPACTED STONE IN THE CYSTIC DUCT CAUSING EXTRINSIC MECHANICAL COMPRESSION OF THE COMMON HEPATIC DUCT

A

MIRIZZI SYNDROME; ASSOCIATED FINDINGS INCLUDE CYSTIC DUCT STONE AND INTRAHEPATIC DILATION

41
Q

A CHOLANGIOCARCINOMA LOCATED AT THE HEPATIC HILUM (JUNCTION OF THE RIGHT AND LEFT HEPATIC DUCT) RESULTING IN INTRAHEPATIC BUT NOT EXTRAHEPATIC DILATION

A

KLATSKIN TUMOR

42
Q

BILE DUCT ADENOMCARCINOMAS TYPICALLY ORIGINATE WITHIN THE

A

CHD OR CBD

43
Q

CHOLANGIOCARCINOMA MOST COMMON FINDING IS

A

INTRAHEPATIC BILE DUCT DILATION AND WEIGHTLOSS

44
Q

IS A DISEASE CAUSE BY THE PARASITIC ROUNDWORM ASCARIS LUMBRICOIDES; COMMONLY FOUND IN SOUTHEAST ASIAN COUNTRIES

A

ASCARIASIS

45
Q

INFLAMATION OF THE BILIARY TREE

A

CHOLANGITIS

46
Q

CHOLANGITIS AS ASSOCIATED WITH THE CHARCOT TRAID WHICH CONSIST OF

A

RUQ PAIN,FEVER, AND JAUNDICE

47
Q

MOST COMMON CAUSE OF CHOLANGITIS

A

CHOLEDOCHOLITHIASIS

48
Q

ELEVATED LABS OF CHOLANGITIS ARE

A

CONJUGATED BILIRUBIN, ALP,GGT,AMYLASE AND LIPASE AND LEUKOCYTOSIS

49
Q

BILIARY ATRESIA IS ASSOCIATED WITH THE

A

TRIANGULAR CORD SIGN AND POLYSPLENIA SYNDROME

50
Q

IS THE MOST SUCCESSFUL IN THE TREATMENT OF BILIARY ATRESIA IF PERFORMED BEFORE 90 DAYS OF LIFE

A

KASAI PORTOENTEROSTOMY

51
Q

PNEUMOBILIA IS AIR IN THE BILIARY REACT AND COMMONLY ASSOCIATED WITH AN

A

ERCP (ENDOSCOPIC RETROGRADE. CHOLANGIOPANCREATOGRAM)

52
Q

CHOLEDOCHAL CYSTS ARE MORE PREVALENT IN

A

ASIA

53
Q

A CONGENITAL ANOMALY OF THE BILIARY TRACT CHARACTERIZED BY MULTIFOCAL SEGMENTAL DILATION OF THE INTRAHEPATIC BILE DUCTS

A

CAROLI DISEASE

54
Q

“CENTRAL DOT SIGN”

A

CAROLI DISEASE

55
Q

MOST COMMON CAUSE OF MALIGNANT NEOPLASM OBSTRUCTING THE BILIARY TREE

A

PANCREATIC ADENOCARCINOMA

56
Q

PANCREATIC ADENOCARCINOMA TYPICALLY CASUES

A

CORVOISIER GB

57
Q

REFERS TO THE DILATION OF THE CBD AND THE DUCT OF WIRSUNG

A

DOUBLE DUCT SIGN

58
Q

AN INFLAMMATION AND FIBROSIS OF THE INTRAHEPATIC AND EXTRAHEPATIC BILE DUCTS

A

PRIMARY SCLEROSING CHOLANGITIS

59
Q

PRIMARY SCLEROSING CHOLANGITIS ELEVATED LABS VALUES ARE

A

ALP, BILIRUBIN,GGT,ALT/AST

60
Q

AN AUTOIMMUNE DISORDER RESULTING IN CHOLESTATIS DUE TO DESTRUCTION OF HTE SMALL INTAHEPATIC BILE DUCTS LEADING TO CIRRHOSIS

A

PRIMARY BILIARY CHOLANGITIS

61
Q

THIS LAB VALUE INCREASES WITH ANY BILE DUCT OBSTRUCTION

A

ALP

62
Q

THE _____ DO NOT FILTER UNCONJUGATED BILIRUBIN AS THEY ARE BOUND TO ALBUMIN.

A

KIDNEYS

63
Q

THE PRESENCE OF BILIRUBIN IN THE URINE INDICATES

A

CONJUGATED HYPERBILIRUBINEMIA

64
Q

THE END PRODUCT OF HEMOGLOBIN BREAKDOWN

A

BILIRUBIN

65
Q
A

ABDOMEN ARDMS (12 decks)

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