Gall Bladder Flashcards
Biliary tract portions (4 point)
- supra duodenal
- retro duodenal
- pancreatic
- intra mural
Choledocholithiasis presentation
- biliary colic
- jaundice
- cholangitis
- pancreatitis
Asymptomatic stones removal indications (4 points)
- more than > 2 cm
- carcification in the wall
- young people
- neuropathic diabetic patient
Gallbladder capacity
20-30—200-300 ml
The root for spreading of gallbladder cancer to the lover
Right portal vein
Sphincter of oddi resting pressure
13 mm hg
Common biliary duct length and diameter
7.5 cm
6 mm
Sympathetic effect on biliary
- contraction of the sphincter
- relaxation of the gallbladdr
Cholecystitis complications (7 points)
- gangrene
- empyema
- perforation
- emphysematous cholecystitis
- cholangitis
- jaundice
- Hydrops
Physiology of the gallbladder
Storage and concentration of bile (2-10 times)
Biliary colic characteristics (3 points)
- rapid increase in intensity
- last up to 6 hours followed gradual decrease
- post prandial
Clinical presentation of gallstones (6 points)
- silent
- biliary colic
- cholecystitis
- Choledocholithiasis
- Pancreatitis
- cancer gall bladder
Cystic duct valves
Valves of heister
Sphincter of oddi contraction pressure
130 mm hg
Common hepatic duct length and diameter
1-2.5 cm
4mm