II Flashcards
BILE IS MANUFACTURED BY THE ____.
LIVER
IS THE TEMPORARY STORAGE AREA FOR BILE.
Gallbladder
IS THE LARGEST SOLID ORGAN IN THE HUMAN BODY
Liver
AN ORGAN THAT OCCUPIES MOST OF THE RIGHT UPPER QUANDRANT AND RIGHT HYPOCHONDRIUM.
Liver
RIGHT AND LEFT LOBE OF THE LIVER IS SEPARATED BY THE
FALCIFORM LIGAMENT.
• THE LIVER SECRETES
800-1,000 ML OR 1 QUART OF BILE PER DAY
IT’S MAJOR FUNCTION IS TO AID IN DIGESTION OF FATS BY EMULSIFYING OR BREAKING DOWN FAT GLOBULES.
Bile
IS FORMED IN THE SMALL LOBULES IN THE LIVER AND TRAVELS THROUGH THE
RIGHT OR LEFT HEPATIC DUCTS.
BILE
BILE IS CARRIED TO THE GALLBLADDER VIA THE
CYSTIC DUCT
• PEAR SHAPED SAC
Gallbladder
Gallbladder is composed of three parts. What are those?
Fundus
Body
Neck
DISTAL END AND THE BROADEST PART OF GALLBLADDER
FUNDUS
MAIN SECTION OF GALLBLADDER
Body
NARROW PROXIMAL END WHICH CONTINUES AS THE CYSTIC DUCT.
Neck
THE CYSTIC DUCT IS ___ CM LONG.
3-4
THE GB IS ___ CM LONG, __ CM WIDE AND HOLDS___ CC OF BILE.
7-10, 3, 30-40
THE THREE PRIMARY FUNCTIONS OF THE GB ARE:
- STORE
- CONCENTRATE
- CONTRACT WHEN STIMULATED
APPEARANCE DUE TO
PRESENCE OF MULTIPLE CYST OF THE
MUCOSA SANDPAPER
FISH SCALE GB
•ROUGHENED CONDITION OF THE MUCOUS MEMBRANE OF THE GB ASSOCIATED WITH THE PRESENCE OF GALLSTONES.
SANDPAPER GB
APPEARANCE DUE TO THE PRESENCE OF CHOLESTEROL/CHOLESTEROL GALLSTONE.
STRAWBERRY GB
•ENLARGED AND PALPABLE GB IN PATIENT WITH CARCINOMA OF THE HEAD OF THE PANCREAS.
COURVOISIER GB
•ASSOCIATED WITH JAUNDICE DUE TO
OBSTRUCTION OF THE CBD.
Courvoisier GB
• HEART: MODERATELY
TRANSVERSE
• LUNGS: MODERATE LENGTH
• DIAPHRAGM: MODERATELY
HIGH
• STOMACH: HIGH, UPPER LEFT
• COLON: SPREAD EVENLY: SLIGHT
DIP IN TRANSVERSE COLON
• GALLBLADDER: CENTERED ON
RIGHT SIDE, UPPER ABDOMEN
STHENIC
• BUILD: MODERATELY HEAVY
• ABDOMEN: MODERATELY
LONG
• THORAX: MODERATELY
SHORT, BROAD, AND DEEP
• PELVIS: RELATIVELY SMALL
Sthenic
• HEART: NEARLY VERTICAL AND
AT MIDLINE
• LUNGS: LONG, APICES ABOVE
CLAVICLES, MAYBE BROADER
ABOVE BASE
• DIAPHRAGM: LOW
• STOMACH: LOW AND MEDIAL,
IN THE PELVIS WHEN STANDING
• COLON: LOW, FOLD ON ITSELF
• GALLBLADDER: LOW AND
NEARER THE MIDLINE
ASTHENIC, 10%
• BUILD: FRAIL
• ABDOMEN: SHORT
• THORAX: LONG, SHALLOW
• PELVIS: WIDE
Asthenic, 10%
• THE ORGANS AND
CHARACTERISTICS FOR THIS
HABITUS ARE INTERMEDIATE
BETWEEN THE STHENIC AND
ASTHENIC BODY HABITUS
TYPES.
HYPOSTHENIC, 35%
• THIS HABITUS IS THE MOST
DIFFICULT TO CLASSIFY.
HYPOSTHENIC, 35%
• HEART: AXIS NEARLY TRANSVERSE
• LUNGS: SHORT, APICES AT OR
NEAR CLAVICLES
• DIAPHRAGM: HIGH
• STOMACH: HIGH, TRANSVERSE
AND IN THE MIDDLE
• COLON: AROUND PERIPHERY OF
ABDOMEN
• GALLBLADDER: HIGH, OUTSIDE,
LIES MORE PARALLE
HYPERSTHENIC, 5%
• BUILD: MASSIVE
• ABDOMEN: LONG
• THORAX: SHORT, BROAD,
DEEP
• PELVIS: NARROW
HYPERSTHENIC, 5%
GB MOVES LATERALLY AND SUPERIORLY
I TO 3 INCHES (2.5 TO 7.6 CM) ON FULL
EXPIRATION.
Hypersthenic
•GB MOVES MEDIALLY AND INFERIORLY
I TO 3 INCHES (2.5 TO 7.6 CM) ON FULL
INSPIRATION.
ASTHENIC
- GB located halfway between the xiphoid tip and lower lateral rib margin
- 20-25 degrees LAO body rotation to separate GB from the vertebral spine
Sthenic/Hyposthenic
• THE COMMON HEPATIC DUCT DRAINING THE LIVER JOINS WITH THE CYSTIC DUCT TO FORM THE ____
COMMON BILE DUCT
• THE CBD AND PANCREATIC DUCT FORMS INTO A COMMON PASSAGEWAY CALLED THE
HEPATOPANCREATIC AMPULLA OR THE AMPULLA OF
VATER.
• 15-20 DEGREES LAO BODY ROTATION TO SEPARATE GB FROM THE VERTEBRAL SPINE.
Hypersthenic
• 20-25 DEGREES LAO BODY ROTATION TO SEPARATE GB FROM THE VERTEBRAL SPINE.
Sthenic/Hyposthenic
• 35-40 DEGREES LAO BODY ROTATION TO SEPARATE GB FROM THE VERTEBRAL SPINE.
Asthenic
• GENERAL TERM FOR A RADIOGRAPHIC STUDY OF THE BILIARY SYSTEM.
CHOLEGRAPHY
• SRE OF THE GALLBLADDER.
CHOLECYSTOGRAPHY
• ALSO CALLED CHOLECYSTOGRAM
CHOLECYSTOGRAPHY
• SRE OF THE BILIARY DUCTS.
• ALSO CALLED CHOLANGIOGRAM
CHOLANGIOGRAPHY
• SRE OF GALLBLADDER AND BILIARY DUCTS.
• ALSO KNOWN AS CHOLECYSTOCHOLANGIOGRAPHY
CHOLECYSTANGIOGRAPHY
• GALLSTONES
CHOLELITHS
• CONDITION OF HAVING GALLSTONES.
CHOLELITHIASIS
• INFLAMMATION OF THE GB
CHOLECYSTITIS
• SURGICAL REMOVAL OF THE GB.
CHOLECYSTECTOMY
• THE MOST COMMON SRE TO STUDY
THE GB.
ORAL CHOLECYSTOGRAM (OCG)
• THE ORAL CM USE FOR
VISUALIZATION OF THE GB IS CALLED
CHOLECYSTOPAQUES
• STONES/CALCULI IN THE GB
• MOST COMMON ABNORMALITIES DIAGNOSED DURING OCG.
• INCREASED LEVELS OF CALCIUM, BILIRUBIN AND CHOLESTEROL MAY LEAD TO FORMATION OF
GALLSTONES.
CHOLELITHIASIS
• GB CARCINOMA ARE RARE HOWEVER IT IS AGGRESSIVE AND SPREAD TO THE LIVER,
PANCREAS AND GI TRACT.
• 80% OF THE PATIENTS WITH CARCINOMA OF THE GB HAVE STONES.
• CT AND UTZ ARE THE BEST MODALITIES TO DEMONSTRATE NEOPLASM OF THE GB.
BILIARY NEOPLASM
• NARROWING OF THE CBD.
• CHOLECYSTITIS AND JAUNDICE MAY RESULT FORM _____.
BILIARY STENOSIS
• EMPLOYED TO INVESTIGATE THE BILIARY DUCTS OF CHOLECYSTECTOMIZED
PATIENTS.
INTRAVENOUS CHOLANGIOGRAPHY
• MORE INVASIVE THAN OTHER FORMS OF CHOLANGIOGRAPHY.
PERCUTANEUS TRANSHEPATIC CHOLANGIOGRAPHY (PTC)
• SRE OF THE BILIARY AND MAIN PANCREATIC DUCTS.
• IS A USEFUL DIAGNOSTIC METHOD WHEN THE BILIARY DUCTS ARE NOT DILATED AND WHEN NO OBSTRUCTION EXISTS AT THE AMPULLA.
ENDOSCOPIC RETROGRADE CHOLANGIOPANCREOTOGRAPHY (ERCP)