Gallbladder Flashcards
Diagn. these symptons
- pain
- jaundice
gallbladder disease
what is the most classic symptom of gallbladder disease
pain
This symptoms is what disease?
RUQ pain usually occurring after ingestion of greasy foods.
gallbladder disease
what are the different pain symptoms of gallbladder disease?
1 nausea and vomiting
2 right shoulder pain
3 RUQ pain usually occuring after ingestion of greasy foods
The presence of bile in tissues resulting in yellowing of the skin and whites of the eyes
jaundice
__________ develops when a stone blocks the bile duts between the gallbladder and intestines, producing pressure on the liver and forcing bile into the blood
jaundice
_________ is thickened bile occuring due to bile stasis.
Sludge
________ may be seen in patiens with prolonged fasting or hyperalimentation therapy and with obstruction of the gallbladder
Sludge
Where can sludge be seen?
CBD
T or F
Sludge is gravity dependent
True
Name this Sonographic Findings:
- Prominet gallbladder
- contains low level echos
Sludge
Sludge may be seen in ________, ________ and other ________ _________.
Choleithiasis
cholecystitis
biliary diseases
Does not layer out evenly and may resemble polypoid mass or pseudo tumor
Tumefactive sludge
Tumefactive Sludge
sludge balls, mobile round non-shadowing echogenic masses in dependent gallbladder
Gholecystitis, adenomyomatosis, cancer, cholangiopathy, sclerosing cholangitis may cause _________ wall to thicken
gallbladder
what is the normal measurement of a gallbladder?
3mm
Nonbiliary diseases that may also cause wall thickening of the gallbladder. (7)
Cirrhosis Hepatitis Pancreatitis portal hypertension heart failure ascities aids
when measureing the wall thickness of the gallbladder, the transducer should be _________ to the anterior wall
perpendicular
(usually done
Anterior wall of gallbladder is measured _______ to ________ margins
outer, outer
inflammation of the gallbladder
cholecystitis
acute, chronic, acalculous, emphysematous, gangrenous are several forms of ?
cholecystitis
most commonly caused by cholelithiasis that creates a cystic duct obstruction?
acute cholecystitis
______ _______ is six times more common in owmen than in men
acute cholecystitis
what aged women are affected the most with acute cholecystitis?
middle aged
what is the 5th leading cause of hospitilization?
acute cholecystitis
diagn. these symptoms:
- sharp RUQ pain radiating to the back
- elevated WBC
- fever
- nausea
- vomiting
- positive Murphy’s sign
Acute Cholecystitis
what is a positive Murphy’s sign?
patient is tender over gallbladder region to touch or tranducer pressure
Name the disease with these complications:
- Empyema
- Emphysematous cholecystits
- gangrenous cholecystitis
- perforation
Acute Cholecystitis
Name disease ? sonographic findings -stones -sludge -hydrops -pericholcystic fluid -gallbladder amy even appear normal
acute cholecystitis
What is the most common for of gallbladder inflammation?
chronic cholecystitis
Results due to numerous attacks of acute choleyctstitis with subsequent ______ of the gallbladder wall.
fibrosis
_________ lining of the gallbladder becomes damaged and the gallbladder loses the ability to _______ _______ efficiently
store bile
normal CBD is ______ in diameter
6mm
CBD should never exceed ______ in diameter
10mm
name disease for these symptoms
- RUQ pain after eating- not as severe as an acute attack
- greasy foods, creams, chocolate
- Flatulent
- Frequent Belching
- Sour taste in mouth
Chronic Cholecystitis
diagn. these sono. findings:
- cholelithiasis
- contracted gallbladder
- coarse gallbladder wall thickening
- WES sign)Wall, Echo, Shadow)
Chronic Cholecystitis
