GB

Question 1

hartmann pouch is

Answer 1

widening at neck

Question 2

phrygian cap is

Answer 2

fold of the fundus

Question 3

3 normal variants

Answer 3

Phrygian cap – fold at fundus
Hartmann pouch – widening at neck
Prominent spiral valves of Heister

Question 4

2 Major causes of conjugated hyperbilirubinemia in newborns:

Answer 4

Liver diseases such as hepatitis

Biliary tract abnormalities such as biliary atresia

Question 5

3 types of biliary atresia manifestations

Answer 5

Absence of biliary tree
Rudimentary gb and cystic duct
Visible gb, cystic duct and CBD

Question 6

Newborns develop neonatal jaundice at _________ of age

Answer 6

3-4 weeks

Question 7

2 important findings to diagnose biliary atresia **

Answer 7

triangular cord sign

Gb length of <1.5cm or absent Gb

Question 8

traiangular cord sign appearance

Answer 8

Triangular, cone-shaped, fibrous ductal remnant is positioned anterior and superior to the portal vein and the hepatic artery.

Echogenic coneshaped density anterior to portal veins

(probably make more sense looking at slide)

Question 9

triangular cord sign measures ____

Answer 9

> 4mm

Question 10

Abnormally small GB will have

Answer 10

irregular walls and abnormal shape

Question 11

what is kasai procedure

Answer 11

Surgical intervention where a connection is made between the duodenum and gallbladder, CBD and liver to drain the bile

Question 12

2/3 of kids that get kasai procedure will need ______*

Answer 12

liver transplantation

Question 13

choledochal cyst symptoms (3)

Answer 13

abdo pain
abdo mass
jaundice