Lesson 2.1 P4

Question 1

Characteristics of benign Polypoid masses (4)

Answer 1

more common
may be multiple
<10mm
don’t change in size when followed up

Question 2

Characteristics of abnormal polypoid masses (5)

Answer 2

>10mm 
singular
>60 years old 
gallstone disease 
rapid change in size when followed

Question 3

What are we trying to Rule out when looking at biliary tree (4)

Answer 3

stones
infections
neoplasms
extrinsic compression

Question 4

choledochal cysts are ______ disease

Answer 4

congenial

Question 5

type 1, 2 and 3 of choledochal cysts are

Answer 5

cystic dilation of CBD

Question 6

type 4 of choledochal cysts involves

Answer 6

intrahepatic ducts as well as CBD dialation

Question 7

type 5 of choledochal cysts is called

Answer 7

carolis disease

Question 8

is type 5 a true choledochal cysts

Answer 8

no

Question 9

choledochal cysts are most commonly seen on what populations

Answer 9

east Asia

Question 10

carolis disease involves

Answer 10

intrahepatic biliary tree

Question 11

carols disease associated with

Answer 11

medullary sponge kidneys

Question 12

does carolis disease affect men or women more

Answer 12

equal

Question 13

Complications of carolis disease

Answer 13

biliary stasis 
cholangitis 
stones and sepsis 
hepatic fibrosis 
portal hypertension

Question 14

what happens with primary choledocholithiasis

Answer 14

stones form within ducts related to disease causing dilation of bile ducts -> resulting in stasis

Question 15

causes of primary choledocholithiasis (4)

Answer 15

sclerosing cholangitis
carolis disease
parasitic infections of liver
sickle cell anemia

Question 16

what happens in secondary choledocholithasis

Answer 16

migration of stones from the GB into the CBD

Question 17

symptom of secondary choledocholithasis

Answer 17

RUQ/epigastric pain

Question 18

sonographic signs of secondary choledocholithiasis (4)

Answer 18

dilated CBD proximal to stone
intrahepatic ducts might be dilated
GB distension
large stones have shadow

Question 19

where will the majority of stones be

Answer 19

in the distal CBD at the ampulla of rater

Question 20

differential diagnosis to CBD stones (3)

Answer 20

papillary tumor
blood clot
biliary sludge

Question 21

how to we tell stones apart from differential diagnosis

Answer 21

only stones shadow

Question 22

how do we see smaller stones on US (2)

Answer 22

proximal dilated ducts help to delineate them

harmonic imaging improves the contrast resolution

Question 23

Mirizzi sindrome is a clinical syndrome of (3)

Answer 23

painful jaundice
fever
obstruction of CHD

Question 24

mitizzi syndrome is the result of

Answer 24

stones eroding into the CHD and resulting in a fistula

Question 25

what is a fistula

Answer 25

an abnormal connection between an organ, vessel, intestine or other structure