Gallbladder

Question 1

Length gallbladder

Answer 1

7-10 cm

Question 2

Diameter gb

Answer 2

2.5-4cm

Question 3

Cbd size

Answer 3

1-7mm, 10 mm after cholecystectomy

Question 4

Wall thickness gb

Answer 4

Less than 3 mm

Question 5

Fatty meal

Answer 5

Cck stimulation, gb contraction, relaxation of oddi

Question 6

Location gb

Answer 6

Intraperitoneal

Question 7

Vascular supply gb

Answer 7

Cystic artery -not seen unless there is a problem, cystic vein

Question 8

Phrygian cap

Answer 8

Fundus bends on itself

Question 9

Junctional fold

Answer 9

Between body and infundibulum - most common

Question 10

Hartmann’s pouch

Answer 10

Sacculations of the neck

Question 11

Septations

Answer 11

Folds in the lumen

Question 12

GB hydrop

Answer 12

Round, distended, from cystic duct obstruction (mucocele)

Question 13

Convoisier gb

Answer 13

Obstruction @ distal CBD (tumor)

Question 14

Small gb

Answer 14

Rare, biliary obstruction, chronic cholecystitis, liver dz

Question 15

Acute cholecystitis

Answer 15

Common cause= stones, more common in women

Question 16

Emphysematous cholecystitis

Answer 16

Surgical emergency, gas forming bacteria air within gb more common in diabetic men

Question 17

Gangrenous cholecystitis

Answer 17

Absence of blood supply, no Murphy’s sign

Question 18

Chronic cholecystitis

Answer 18

Most common cause of gb contraction, most common cause= stones

Question 19

Xanthogranlomatous cholecystitis

Answer 19

Rare, lipid laden inflammatory process

Question 20

Acalculous

Answer 20

Decreased blood flow of cystic artery, very thick gb more than 5 mm

Question 21

Milk of calcium

Answer 21

Lime bile

Question 22

Porcelain gb

Answer 22

Calcification of wall, increased risk for carcinoma

Question 23

Floating gallstones

Answer 23

cholesterol

Question 24

Adenomyomatosis

Answer 24

Overgrowth of gb wall, comet tail, rokinsty-aschoff sinuses= diverticula in gb wall

Question 25

GB carcinoma

Answer 25

Rare,100%, mortality rate asymptomatic

Question 26

Choledochal cyst

Answer 26

CBD cyst, rare.

Question 27

Carol’s dz

Answer 27

Congenital, multiple cysts that communicate with intra hepatic ducts.

Question 28

Choledocholelithiasis

Answer 28

Stones in bile ducts

Question 29

Choleangitis

Answer 29

Inflammation of bile ducts

Question 30

Klatskins tumor

Answer 30

Cholangiocarcinoma occurs at bifurcation of CHD

Question 31

Mirizzi syndrome

Answer 31

Impacted stone in the cystic duct, uncommon

Question 32

Shotgun sign

Answer 32

Dilated intrahepatic ducts