Gallbladder Flashcards
Gb fossa is ______ to the right lobe of liver
Posterior inferior
Gb arterial supply:
Cystic artery
Gb venous drainage:
Cystic vein
Cystic artery originates from
Right hepatic artery
Inner layer of gb
Mucosa
Middle layer of gb
Muscle
Outer layer of gb
Serosa
Systemic issues that can cause gb wall thickening
CHF and AIDS
Increased levels of this are usually first indication of obstruction:
ALP
Increased prothrombin time(PT) is associated with :
Acute cholecystitis, gb carcinoma, obstruction
Most common congenital anomaly of gb
Phrygian cap
Most common type of choledochal cyst
Type 1- fusiform
Congenital anomaly of intrahepatic ducts. Multiple cystic structures that converge toward porta hepatis communicating with bile ducts
- central dot
Carolis disease
Double duct sign refers to dilation of
CBD and wirsung
Patients with PRIMARY BILIARY CHOLANGITIS are screened every 6 months for
HCC
Most common cause of malignant neoplasm obstructing biliary tree
Pancreatic adenocarcinoma
Carolis disease: type __ intrahepatic
Type 5
Most common cause of cholangitis
Choledocholithiasis
Suspected when jaundice persists beyond 14 days of age
Biliary atresia
Triangular cord sign
Biliary atresia
Kasai portoenterostomy is most successful in treating _____ if performed before _____ days of life
Biliary atresia, 90 days
Cholangiocarcinoma located at the hepatic hilum
Klatskin tumor
Most common predisposing condition of cholangiocarcinoma
Primary sclerosis cholangitis
Biliary disease caused by parasitic roundworm
- south East Asian countries
Ascariasis
Intrahepatic biliary dilitation without extrahepatic dilitation indicates
Klatskin tumor
Most common cause of extrahepatic obstructive jaundice
Choledochalithiasis
Most common location for biliary stone
Distal cbd
Parallel channel sign or shotgun sign refers to:
Dilated hepatic duct and portal vein
Dilated CBD measures
Greater or equal to 8mm
Rokitansky-Aschoff sinuses
Adenomyomatosis
“Strawberry gallbladder”
Cholesterolosis
Polyps measuring ___ are more likely malignant
> 10mm
Hydrops of gb AKA
Mucocele
Hydrops/mucocele is associated with
Kawasaki disease
Calcification of gb wall associated with chronic cholecystitis
Porcelain gb
Sludge-like material with a high concentration of calcium
Milk of calcium bile
Milk of calcium bile is associated with
Chronic cholecystitis and gb obstruction of cystic duct
Gb fills with purulent material
Empyema of gb
Acute cholecystitis in presence of bacteria containing bile
Empyema of gb
Emphysematous cholecystitis occurs more commonly in
Diabetic men
“Champagne sign”
Emphysematous cholecystitis
Most common cause of acute cholecystitis
Stone in cystic duct
Most common cause of gb wall thickening
Cholecystitis
Prehepatic cause of jaundice
Excessive RBC breakdown
Post hepatic cause of jaundice
Obstruction of biliary tree
