Lesson 2.1 Part 3 Flashcards

1
Q

emphysematous cholecystitis is rapidly progressive and fatal in ___% of cases

A

15%

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2
Q

emphysematous cholecystitis Is most common in _____ and _____

A

men and diabetics

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3
Q

emphysematous cholecystitis is frequent calculus which means

A

it doesn’t inlvove stones

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4
Q

emphysematous cholecystitis is caused by

A

gas forming bacteria after ischemic event

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5
Q

what does emphysematous cholecystitis appear as

A

gas in lumen and wall

echogenic line with posterior dirty shadow or reverb artifact

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6
Q

with emphysematous cholecystitis peneumobilia may be present which means

A

air in the ducts

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7
Q

chronic cholecytisits is differentiated from acute cholystitis by absence of: (3)

A

gall bladder distension
positive Murphys sign
hyperaemia of the wall

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8
Q

Acalculous cholecystitis common in (2)

A

critically ill people and elderly males with atherosclerosis

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9
Q

why is Acalculous cholecystitis har to assess (2)

A

same signs are commonly seen in critically ill without it

and on pain killers

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10
Q

what is torsion

A

twisting of artery or duct

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11
Q

what group is torsion usually seen in

A

elderly women

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12
Q

what is usually occurring with torsion

A

distended inflamed GB

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13
Q

what is seen with Porcelain GB (2)

A

wall is thickly calcified with dense posterior acoustic shadowing
WES complex is absent

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14
Q

what may Porcelain GB represent

A

a form of chronic cholecystitis

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15
Q

What is adenomyomatosis

A

exaggeration of the normal invaginations of luminal epithelium

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16
Q

adenomyomatosis, Rokitansky-Aschoff sinuses may appear as

A

cystic spaces or echogenic foci with comet tail artifact

thickening of adjacent GB

17
Q

what artifact may be seen with adenomyomatosis

A

twinkling

18
Q

is adenomyomatosis diffuse or focal

A

either

19
Q

adenomyomatosis may have _______ appearance

A

hourglass