Lesson 2.1 Part 3 Flashcards
emphysematous cholecystitis is rapidly progressive and fatal in ___% of cases
15%
emphysematous cholecystitis Is most common in _____ and _____
men and diabetics
emphysematous cholecystitis is frequent calculus which means
it doesn’t inlvove stones
emphysematous cholecystitis is caused by
gas forming bacteria after ischemic event
what does emphysematous cholecystitis appear as
gas in lumen and wall
echogenic line with posterior dirty shadow or reverb artifact
with emphysematous cholecystitis peneumobilia may be present which means
air in the ducts
chronic cholecytisits is differentiated from acute cholystitis by absence of: (3)
gall bladder distension
positive Murphys sign
hyperaemia of the wall
Acalculous cholecystitis common in (2)
critically ill people and elderly males with atherosclerosis
why is Acalculous cholecystitis har to assess (2)
same signs are commonly seen in critically ill without it
and on pain killers
what is torsion
twisting of artery or duct
what group is torsion usually seen in
elderly women
what is usually occurring with torsion
distended inflamed GB
what is seen with Porcelain GB (2)
wall is thickly calcified with dense posterior acoustic shadowing
WES complex is absent
what may Porcelain GB represent
a form of chronic cholecystitis
What is adenomyomatosis
exaggeration of the normal invaginations of luminal epithelium