Liver & GB

Question 1

Pt with obstructive jaundice, US revealed a stone in hartman’s pouch and compressing the CBD, What is the diagnosis?

Answer 1

Mirrizi syndrome

Question 2

Components of charcot’s triad
What is its significance?

Answer 2

Triad is :Fever, RUQ pain, jaundice.
Signifies; Acute cholangitis

Question 3

Enlarged Gallbladder associated with jaundice is due to a malignancy rather than a stone in the CBD.
This is a law called…

Answer 3

Courvoisier law

Question 4

What are the xceptions of courvoisier law

Answer 4

. A stone in CBD +a stone in Cystic duct
. Metabolic stone

Question 5

Liver aspiration in a pt with watery diarrhea, fever and colocly abdominal pain shows an odorless yellow brown liquid (anchovy sauce)
What is the diagnosis?
What is the TTT?

Answer 5

Amebic liver disease.
ttt: metronidazole, US guide percutaneous aspiration

Question 6

Names of the worm associated with hydatid disease of the liver

Answer 6

Echinococcus granulosus (tapeworm) (cestode )

Question 7

In laparoscopic cholecystectomy, calot’s triangle is identified to be able to locate…..
What are the borders of the triangle?

Answer 7

Locate cystic artery
Borders:
1. liver
2. Cystic duct
3. CBD