Biliary tract Flashcards
chole
bile
cysto
bag or sack
cholecyst
gallbladder
choledoco
common bile duct
cholangio
bile vessel
what are the 3 fn of the gall bladder
- storage of bile
- concentration of bile
- contraction when stiulated
where is the gallbladder on a sthenic pt
L2, or 1” above LCM
2” right of MSP
where is the gallbladder on an asthenic pt
midline at L4
where is the gallbladder on a hypersthenic pt
2” higher than sthenic
t12, more lateral
what is cholecystography
study of GB
what is cholangiography
study of biliary ducts
what is cholecystangiography
study of GB AND ducts
what are the 3 biliary examinations
- percutaneous transhepatic cholangiography
- T-tube cholangiogram
- endoscopic retrograde cholangiopancreatogram (ECRP)
what is cholelithiasis
gallstones
how are gallstones seen on an image?
20% will show up
otherwise, contrast is used to dem filling defects
what is the modality of choice for cholelitheasis
ultrasound
what does PTC stand for
percutaneous transhepatic cholangiogram
what is the general process of a PTC
insertion of needle into bile duct, contrast
may drain fluid, remove stones/sludge, insert stents
what is this procedure
percutaneous transhepatic cholangiogram
what does a t-tube cholangiogram demonstrate
caliber and patency if the ducts, or presence of stones
what equipment does a t-tube cholangiogram use?
T-shaped catheter left for postoperative drainage
where do the t-tube ends sit?
common hepatic and common bile ducts
what is the prep for a t-tube cholangiogram
drainage tubes is clamped day before
preceding meal is withheld
maybe cleansing enema
what procedure is this
t-tube cholangiogram
