hepatobiliary

Question 1

safest division of liver for surgery

Answer 1

left -

Question 2

what division is gb in

Answer 2

central

Question 3

T/F

the closer the trauma/injury is to the hilus, the less likely it will need surgery

Answer 3

false - more likely

Question 4

what vessels are in the epiploic foramen

Answer 4

hepatic artery and portal vein

Question 5

liver biopsy techniques

Answer 5

FNA
tru cut 
laprascopic 
skin punch
guillotine

Question 6

T/F

80-85% of the liver can be removed and will regenerate

Answer 6

true

Question 7

partial lobectomy technique that will result in the most blood loss

Answer 7

parenchymal fracture and ligation

Question 8

nectrotizing cholecystitis

Answer 8

cholangiohepatitis - rupture may = septic peritonitis

Question 9

biliary mucocele signalment

Answer 9

older small dogs
abdominal pain
icterus
high liver enzymes

Question 10

how does a biliary mucocele look on ultrasound

Answer 10

enlarged gallbladder with immobile echogenic bile

striated or stellate pattern - kiwi sign

Question 11

treatment of biliary mucocele

Answer 11

cholecystectomy - remove gb

Question 12

where to cut for cholecystectomy

Answer 12

at the cystic duct

Question 13

extraluminal biliary obstruction causes

Answer 13

pancreatic disease

duodenal disease

Question 14

incision into dilated common bile duct

Answer 14

choledochotomy

Question 15

indications for choledochotomy

Answer 15

choledocholithiasis

biliary sludge

Question 16

most commonly done to relieve obstruction due to extraluminal compression

Answer 16

bile duct stenting

Question 17

for a cholecystoduodenostomy what should the stoma’s initial size be and why

Answer 17

2.5 - 3 cm long to reduce the risk of the gallbladder becoming impacted with ingesta causing cholecystitis or cholangiohepatitis

Question 18

biliary diversion complications in cats

Answer 18

high mortality
chronic vomiting
leakage

Question 19

biliary diversion complications in dogs

Answer 19

leakage
ascending infections
bleeding at stoma site

Question 20

how to confirm bile peritonitis when looking at abdominal effusion

Answer 20

if the abd effusion bilirubin is >2x serum bilirubin is positive

Question 21

sterile bile

Answer 21

chemical peritonitis

good prognosis

Question 22

infected bile

Answer 22

septic peritonitis

poor prognosis