Gallbladder Flashcards

1
Q

Diagn. these symptons

  1. pain
  2. jaundice
A

gallbladder disease

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2
Q

what is the most classic symptom of gallbladder disease

A

pain

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3
Q

This symptoms is what disease?

RUQ pain usually occurring after ingestion of greasy foods.

A

gallbladder disease

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4
Q

what are the different pain symptoms of gallbladder disease?

A

1 nausea and vomiting
2 right shoulder pain
3 RUQ pain usually occuring after ingestion of greasy foods

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5
Q

The presence of bile in tissues resulting in yellowing of the skin and whites of the eyes

A

jaundice

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6
Q

__________ develops when a stone blocks the bile duts between the gallbladder and intestines, producing pressure on the liver and forcing bile into the blood

A

jaundice

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7
Q

_________ is thickened bile occuring due to bile stasis.

A

Sludge

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8
Q

________ may be seen in patiens with prolonged fasting or hyperalimentation therapy and with obstruction of the gallbladder

A

Sludge

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9
Q

Where can sludge be seen?

A

CBD

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10
Q

T or F

Sludge is gravity dependent

A

True

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11
Q

Name this Sonographic Findings:

  • Prominet gallbladder
  • contains low level echos
A

Sludge

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12
Q

Sludge may be seen in ________, ________ and other ________ _________.

A

Choleithiasis
cholecystitis
biliary diseases

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13
Q

Does not layer out evenly and may resemble polypoid mass or pseudo tumor

A

Tumefactive sludge

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14
Q

Tumefactive Sludge

A

sludge balls, mobile round non-shadowing echogenic masses in dependent gallbladder

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15
Q

Gholecystitis, adenomyomatosis, cancer, cholangiopathy, sclerosing cholangitis may cause _________ wall to thicken

A

gallbladder

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16
Q

what is the normal measurement of a gallbladder?

A

3mm

17
Q

Nonbiliary diseases that may also cause wall thickening of the gallbladder. (7)

A
Cirrhosis
Hepatitis
Pancreatitis
portal hypertension
heart failure
ascities
aids
18
Q

when measureing the wall thickness of the gallbladder, the transducer should be _________ to the anterior wall

A

perpendicular

(usually done

19
Q

Anterior wall of gallbladder is measured _______ to ________ margins

A

outer, outer

20
Q

inflammation of the gallbladder

A

cholecystitis

21
Q

acute, chronic, acalculous, emphysematous, gangrenous are several forms of ?

A

cholecystitis

22
Q

most commonly caused by cholelithiasis that creates a cystic duct obstruction?

A

acute cholecystitis

23
Q

______ _______ is six times more common in owmen than in men

A

acute cholecystitis

24
Q

what aged women are affected the most with acute cholecystitis?

A

middle aged

25
Q

what is the 5th leading cause of hospitilization?

A

acute cholecystitis

26
Q

diagn. these symptoms:
- sharp RUQ pain radiating to the back
- elevated WBC
- fever
- nausea
- vomiting
- positive Murphy’s sign

A

Acute Cholecystitis

27
Q

what is a positive Murphy’s sign?

A

patient is tender over gallbladder region to touch or tranducer pressure

28
Q

Name the disease with these complications:

  • Empyema
  • Emphysematous cholecystits
  • gangrenous cholecystitis
  • perforation
A

Acute Cholecystitis

29
Q
Name disease ?
sonographic findings
-stones
-sludge
-hydrops
-pericholcystic fluid
-gallbladder amy even appear normal
A

acute cholecystitis

30
Q

What is the most common for of gallbladder inflammation?

A

chronic cholecystitis

31
Q

Results due to numerous attacks of acute choleyctstitis with subsequent ______ of the gallbladder wall.

A

fibrosis

32
Q

_________ lining of the gallbladder becomes damaged and the gallbladder loses the ability to _______ _______ efficiently

A

store bile

33
Q

normal CBD is ______ in diameter

A

6mm

34
Q

CBD should never exceed ______ in diameter

A

10mm

35
Q

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
A

Chronic Cholecystitis

36
Q

diagn. these sono. findings:
- cholelithiasis
- contracted gallbladder
- coarse gallbladder wall thickening
- WES sign)Wall, Echo, Shadow)

A

Chronic Cholecystitis