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Surgery > Gall Bladder > Flashcards

Gall Bladder Flashcards

1
Q

Gall bladder lacks ……

A

Submucosa

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2
Q

1st LN to be enlarged in GB cancer !?

A

Cystic lymph node of LUND

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3
Q

Most common anatomical variation of GB

A

Phrygian cap

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4
Q

Moynihan’s hum

A

Tortuous course of right hepatic artery in the hepatocystic triangle

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5
Q

Most common type of gall bladder stone in asia / india

A

Pigment stones

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6
Q

Black pigment gall stone causes

A

Hemolytic disease

G6PD deficiency
Hereditary spherocytosis
Sickle cell anemia

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7
Q

Composition of black pigment!!?

A

Insoluble bilirubin pigment polymer of ca phosphate & ca bicarbonate

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8
Q

Cause of brown gall stone pigment !?

A

Infected bile

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9
Q

Composition of brown pigment

A

Ca palmitate
Ca stearate
Ca bilirubinate

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10
Q

Mc common Overall gall stone

A

Mixed stone

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11
Q

Most important process in formation of gall stone !?

A

Nucleation

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12
Q

IOC for the Gall stone

A

Usg ( post acoustic shadow)

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13
Q

90% stone are ……. And 10 % are ………

A

90% are - radiolucent

10% - radioopaque

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14
Q

Radio opaque gallstone sign !?

A

Seagull sign & mercedes benz sign

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15
Q

Porcelain Gb with stone is

A

Pre malignant condition

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16
Q

Murphy sign

A

On deep breath we press RUQ and patient holds his breath

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17
Q

Boa sign

A

Hyperastheia of 12 rib region

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18
Q

Murphy and boa sign are feature of …….

A

Achte cholecystitis

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19
Q

HIDA Scan used

A

Dd b/w acute & acalculous

20
Q

Mx for the acute cholecysitis!?

A

Laparoscopic cholecystectomy

21
Q

M.x of acalculous cholecysitis!?

A

Cholecystectomy

22
Q

HpE feature of chronic cholecystitis??

A

Rokitansky aschoff nodule if it rupture than xanthogranulomatous cholecysitis

23
Q

Causative organism in case of emphysematous cholecysitis!?

A

Clostridium

24
Q

Empyema of Gb

A

Mucocele get infected

25
Q

Mirizzi syndrome

A

GB becomes adherent to CBD due to inflammation than stone in GB presses on CBD leads to feature of - cholecystitis + jaundice

26
Q

IOC for mirizzi syndrome !?

A

MRCP ( magnetic resonance cholangiopancreatography

27
Q

Gall stone ileus

A

2 to cholecysto- duodenal fistula

28
Q

Mc site of gallstone ileus !?

A

Terminal 2 feet of ileum

29
Q

Bouveret syndrome

A

Gall stone leads to obstruction of gastric outlet

30
Q

Rigler triad on xray abdomen !?

A

1-Pneumobilia
2-Feature of small intestine obstruction
3-Radio- opaque shadow on right iliac fossa

31
Q

Mcc cause of choledocholithiasis!?

A

Slipping of GB stone

32
Q

Charcot’s triad !?

A

Intermittent pain
Intermittent jaundice
Intermittent fever

33
Q

Reynolds pentard

A

Charcot triad + shock + Altered mental status

34
Q

IOC for CBD stone !?

A

MRCP

35
Q

IOC FOR CBD MICROLITHS !?

A

Endoscopic ultrasound

36
Q

Incision made in open cholecystectomy!?

A

Kocher incision - right sub-coastal incisors

37
Q

MCC cause of gall bladder cancer !?

A

Gall stone

38
Q

Most common & worst type of Gall bladder cancer !?

A

Infiltering type

39
Q

Best prognosis’s of type of gall bladder cancer!?

A

Papillary

40
Q

Monitoring of gall bladder cancer !?

A

CA 19-9

41
Q

Starwberry/ cholesterolosis

A

Deposition of cholesterol crystal

In tje wall of gallbladder

42
Q

MCC cause of liver transplant in children!?

A

Extrahepatic billary atresia

43
Q

Choledochal cyst is dilatation of

A

CBD

44
Q

Caroli disease/type 5 is a dilatation of ……

A

Intrahepatic bile ducts

45
Q

Mx of choledochal cyst !?

A

Excision

Surgery (8 decks)

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