Gallbladder Flashcards
[gb location]
right upper quadrant of liver
posteroinf. of liver
T/F GB is intraperitoneal
T
gb [wide, length]
3 cm
7-10 cm
gb three layers
outer serosa-peritoneum [post. of body and neck]
fibromuscular coat
internal/muscular coat
[..] continuous with cystic duct
neck
[..] round and project below inf margin of liver
fundus
[..] extends upwards and backwards from fundus and lies on main boundary fissure, [..]
body
hauptgrenzspaite of hjortsjo
[..] lies in main boundary fissure
main hepatic vein
[..] lies between neck and body
infundibulum
indefinite pouch of infundibulum on posterior surface
Hartmann’s pouch
fasting gb wall is [..] thick
3mm
sono app of gb
pencil thin echogenic line, pear-shaped
sono loc of fundus
superficial almost in/c w/ abdominal wall anteriorly
sono loc of neck
deeper posi
sono app of fundus
laterally place than the neck
causes of gb thickening
hepa
heart failure
hypoalbuminemia
contracted organ
cholethiasis
asitis
T/F BT is intraperitoneal
T
BT is composed of:
liver, gb, panc
[PREP] NPO [..]
8-12 hrs
if moveable [..]
gb stone/bile sludge
if stationary [..]
polyps, carcinoma
variation wherein gb disappears when change in pos’n
segmental contractions
variation, fundus fold itself
phrygian cap
suspended by the [..]
long mesentery
gb may be partially or totally divided [normal]
septation
NV of BT
Duplications of CD
Variable lvl of junction of cystic and CHD
Septations
GB pt pos’n
supine, left lat decub, LPO
gb n CD sono app
filled by normal bile -anechoic
longi -oblong
axial - round or oval
longi - tubular
axial - round
echogenic bile due to the presence of calcium bilirubinate w/ cholesterol crystals
due to lack of bile turnover
bile sludge
UTS F. bile sludge
- layering
- no AS
may mimic gb cancer
gb is surgically removed
temefactive bile sludge
UTS F. temefactive bile sludge
sludge ball opening like stone
CAUSE of GS or cholelithiasis
cholesterol
bilirubinate
calcium carbonate
sign wherein stones move w’in gb lumen
rolling stone sign
sign wherein gb lumen is entirely filled with stones
wes sign
inflammation of gb
acute cholecystitis
types of acute cholecystitis
calculus - obstructing stones
acalculus - due to infection
types of acute cholecystitis
calculus - obstructing stones
acalculus - due to infection
sign wherein there is pain when hc touches peritoneum, RUQ pain
Murphy’s Sign
sign wherein there is gas bubbles inside gb
effervescent sign
MC CAUSE of Emphysematous
gas-forming bacteria
multiple cholesterol esters “STRAWBERRY GB”
Cholesterolosis
CAUSES of Cholesterlosis
smoking
alcohol
unhealthy diet