GB 2 (THE FIRST ONE GOT MAD FUCKED) Flashcards by FWU Enterprise | Brainscape

Q

type 1 choledochal cyst

A

concentric dilation of CBD

most common type

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Q

type 2 choledochal cyst

A

CBD diverticulum

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Q

type 3 choledochal cyst

A

Choledochocele - cystic dilatation of intraduodenal portion of CBD

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Q

type 4

A

Ditatation of CBD with IHBD involvement

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Q

type 5

A

Caroli Disease
Saccular dilatation of IHBD with calculus formation and bacterial cholangitis
Minimal dilatation of IHBD, associated with hepatic fibrosis and portal hypertension

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Q

choledochal cyst sono appearance (3)

A

Cystic structure near GB continuous with bile ducts
Large cysts containing sludge
IHBD dilatations (type IV and V)

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Q

choledochal cyst complications (5)

A

Stone formation in cyst, GB, panc duct
Biliary obstruction
Chronic cholangitis
Cirrhosis
Bilirary rupture with biliary peritonitis (image).

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Q

abnormal GB thickness

A

> 3mm

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Q

Inflamatory causes of GB wall thickening

A

acute and chronic cholecystitis

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Q

nonInflamatory causes of GB wall thickening

A

Viral hepatitis, cirrhosis, congestive heart failure, hypoalbuminemia, pancreatitis.

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Q

Pediatric cholelithiasis associated with (5)

A

Cystic fibrosis
Malabsorption
Crohn’s disease
Bowel resection
Sickle cell

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Q

neonatal cholelithiasis associated with (5)

A

Anomalies of the biliary system 
Dehydration
TPN 
total parenteral nutrition - causes bile stasis
Infection
Hemolytic anemia

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Q

older children cholithiasis presentation (3)

A

RUQ pain
Intolerance to fatty foods
N&V

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Q

in utero stones in neonate will likely resolve in

A

a year

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Q

cholelithiasis sono appearance

A

Mobile echogenic intraluminal structures with PAS, may have twinkle artifact with colour doppler

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Q

causes of sludge

A

Prolonged fasting
Hyperalimentation/TPN
Extraheptic bile duct obstruction

Q

causes of cholecystitis (4)

A

Hypoalbuminemia
Acute Viral Hepatitis
Heart and renal failure
Cystic duct obstruction from external source

Q

cholecystitis symptoms (4)

A

RUQ pain
Fever
Vomiting
Palpable RUQ lump

Q

Hydropic gallbladder seen in

A

Acutely ill children on TPN
Also associated with Kawasaki syndrome, leptospirosis, typhoid fever, ascariasis, Salmonella, chronic biliary obstruction

Q

clinical presentation of hydronic GB

A

RUQ pain
Fever
Dehydration
Abdo distention

Q

hydronic GB appearance

A

GB - enlarged, anechoic, with thin walls

Q

in biliary obstruction ducts can rupture causing (3)

A

neonatal jaundice
biliary ascites
biloma

Q

what is Sclerosing Cholangitis

A

Chronic disease with inflammatory fibrosis that obliterates the intra and extra hepatic bile ducts

Q

Sclerosing Cholangitis results in (3)

A

biliary cirrhosis
portal hypertension
liver failure

Q

Sclerosing Cholangitis mainly associated with

A

IBD

Q

Sclerosing Cholangitis clinical presentation (3)

A

RUQ pain
Jaundice
Abnormal LFTs and ↑ bilirubin

Q

Sclerosing Cholangitis sono features (3)

A

thickened bile duct walls
choledocholithiasis
ductal strictures

Q

what is Rhabdomyosarcoma

A

rare biliary neoplasm

Arises from biliary tract and causes obstruction

Q

clinical presentation of Rhabdomyosarcoma (4)

A

Increasing abdo girth
Jaundice
Pain
Weight loss

Q

Rhabdomyosarcoma sono features (3)

A

Solid
Hyperechoic
Within bile ducts

Q

Rhabdomyosarcoma is known for

A

2nd most common cause of obstructive jaundice

Q

Most common cause of obstructive jaundice in neonates

A

Biliary atresia

Q

Most common cause of obstructive jaundice in older children

A

Choledochal cyst