Gall Bladder Flashcards

1
Q

Biliary tract portions (4 point)

A
  • supra duodenal
  • retro duodenal
  • pancreatic
  • intra mural
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2
Q

Choledocholithiasis presentation

A
  • biliary colic
  • jaundice
  • cholangitis
  • pancreatitis
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3
Q

Asymptomatic stones removal indications (4 points)

A
  • more than > 2 cm
  • carcification in the wall
  • young people
  • neuropathic diabetic patient
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4
Q

Gallbladder capacity

A

20-30—200-300 ml

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5
Q

The root for spreading of gallbladder cancer to the lover

A

Right portal vein

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6
Q

Sphincter of oddi resting pressure

A

13 mm hg

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7
Q

Common biliary duct length and diameter

A

7.5 cm

6 mm

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8
Q

Sympathetic effect on biliary

A
  • contraction of the sphincter

- relaxation of the gallbladdr

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9
Q

Cholecystitis complications (7 points)

A
  • gangrene
  • empyema
  • perforation
  • emphysematous cholecystitis
  • cholangitis
  • jaundice
  • Hydrops
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10
Q

Physiology of the gallbladder

A

Storage and concentration of bile (2-10 times)

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11
Q

Biliary colic characteristics (3 points)

A
  • rapid increase in intensity
  • last up to 6 hours followed gradual decrease
  • post prandial
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13
Q

Clinical presentation of gallstones (6 points)

A
  • silent
  • biliary colic
  • cholecystitis
  • Choledocholithiasis
  • Pancreatitis
  • cancer gall bladder
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14
Q

Cystic duct valves

A

Valves of heister

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15
Q

Sphincter of oddi contraction pressure

A

130 mm hg

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16
Q

Common hepatic duct length and diameter

A

1-2.5 cm

4mm

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17
Q

Sphincter of oddi contractions

A

4 contractions/min

18
Q

CCK effects (parasympathetic)

A

Bile move

  • relaxation of the sphincter
  • contraction of the gallbladder
19
Q

Acute cholecystitis symptoms

A
  • long biliary colic
  • anorexia
  • nausea and vomiting
  • fever
  • tachycardia
19
Q

Gall bladder cancer presentations

A
  • right upper quadrant pain
  • abdominal mass
  • jaundice
  • weight loss
  • dyspepsia
  • anorexia
21
Q

Sphincter of oddi length

A

4-6 mm

22
Q

Lymphatics for gallbladder

A

Node of lund

22
Q

Cystic duct length

A

0.5-4 cm