Gallbladder & Biliary System Flashcards
The gallbladder serves as a reservoir for ______ that is drained from the hepatic ducts in the liver.
Bile
The common hepatic duct is joined by the cystic duct to form the ______ duct.
common bile
The main pancreatic duct joins the common bile duct, and together they open through a small ampulla (the ampulla of ______) into the duodenal wall.
vater
The end parts of the common bile duct and main pancreatic duct and the ampulla are surrounded by circular muscle fibers known as the ________
sphincter of oddi
The arterial supply of the gallbladder is from the _____ artery, which is a branch of the right hepatic artery.
cystic
List the two primary functions of the extrahepatic biliary tract.
- transportation of bile from the liver to the intestines 2. regulation of its flow
Bile is the principle medium for excretion of bilirubin _______.
Cholesterol
The ________ from the small intestine stimulate the liver to make more bile. This activates intestinal and pancreatic enzymes.
bile salts
The sign that indicates an extrahepatic mass compressing the common bile duct, which can produce an enlarged gallbladder, is called _________
courvoisier’s sign
Sonographically, the common duct lies _______ and to the _____ of the portal vein in the region of the porta hepatis and gastrohepatic ligament.
anterior, right
The hepatic artery lies _______ and to the ________ of the portal vein.
![](https://s3.amazonaws.com/brainscape-prod/system/cm/265/957/470/q_image_thumb.png?1540651341)
anterior, left
To ensure maximum dilation of the gallbladder, the patient should be giver nothing to eat for at least _____hours before the ultrasound exam.
8-12
The patient is initially examined with ultrasound in full______.
inspiration
The patient should also be rolled into a steep _______ or upright position (to ensure there are no stones within the gallbladder) in attempt to separate small stones from the gallbladder wall or cystic duct.
decubitus
The gallbladder may be identified as a _______ oblong structure located anterior to the right kidney, lateral to the head of the pancreas and duodenum.
Sonolucent