Biliary Tract Flashcards

1
Q

What is the name of the node in Calot’s triangle

A

Calot’s node

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2
Q

What are the small ducts that drain bile directly into the gallbladder from the liver

A

Ducts of Luschka

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3
Q

Which artery is susceptible to injury during cholecystectomy

A

Right hepatic artery
because of its proximity to the cystic artery and Calot’s triangle

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4
Q

Where is the infundibulum of the gallbladder

A

Near the cystic duct

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5
Q

Where is the fundus of the gallbladder

A

At the end of the gallbladder

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6
Q

What are the boundaries of the triangle of Calot

A

Three Cs
Cystic duct
Common hepatic duct
Cystic artery

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7
Q

What does bile do

A

Emulsifies fats

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8
Q

What stimulates gallbladder emptying

A

Cholecystokinin and vagal input

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9
Q

Gallstones in galbladder

A

Cholelithiasis

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10
Q

Gallstones in common bile duct

A

Choledocholithiasis

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11
Q

Inflammation of gallbladder

A

Cholecystitis

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12
Q

Pain from gallstones usually from a stone at cystic duct

A

Biliary colic

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13
Q

Anastomosis between common bile duct and jejunum

A

Choledochojejunostomy

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14
Q

Anastomosis of hepatic ducts or common hepatic duct to jejunum

A

Hepaticojejunostomy

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15
Q

What is the initial diagnostic study of choice for evaluation of the biliary tract/gallbladder/cholelithiasis

A

Ultrasound

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16
Q

ERCP

A

Endoscopic Retrograde CholangioPancreatography

17
Q

IOC

A

IntraOperative Cholangiogram

18
Q

Cut through sphincter of Oddi to allow passage of gallstones from the common bile duct

A

Sphincterotomy

19
Q

What is the treatment of major CBD injury after a lap chole

A

Choledochojejunostomy

20
Q

What are the bid 4 risk factors for cholelithiasis

A

Female
Fat
Forty
Fertile

21
Q

What are the types of stones

A

Cholesterol stones 75%
Pigment stones 25%

22
Q

What are the possible complications of a lap chole

A

Common bile duct injury; right hepatic duct/artery injury; cystic duct leak; biloma (collection of bile)

23
Q

What are the major feared complication of ERCP

A

Pancreatitis

24
Q

Acute pain and inspiratory arrest elicited by palpation of the RUQ during inspiration

A

Murphy’s sign

25
Q

What are the findings on HIDA scan

A

Nonfilling of the gallbladder

26
Q

What is the management of distal common bile duct cholangiocarcinoma

A

Whipple procedure